HomeMy WebLinkAboutPermits for Hines/Puffer Bldg
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tv1Je or print and sip at ( . ,.'.. .)
ADDRESS
/~/2-b
Date Rec' d
I. Whil~ File I PERMIT NO J
~. :eI"tow ~::Iicam . 04-- r 08 (pr'
c","",-~.:n-e.~ ,Ave r",.,tt--Ll'\-I'-?_
LEGAL DESCRIPTION (office use only)
LOT '2- BLOCK l ADDITION ~Pt",^"~.s I s~ I+P J, ,I 0 ~
OWNER .. \
(Name) NO\l Pt-- ?i2-.... \-\ Po
l \.. c.
ZONING (office use)
CI
PID 'Z. 5. \'\4 .ooz. .0
(Address) I ~o 3 ~ Co t'.... "" I? ('2- c. ~
PrVc ?I\..IOL-LMl...<=-'
(Phone) ~z.. 44-1- ~ ~ 0 z... 0
o~ Da.. W,..\.i ~a H- I ~ C=~
BUll.DER
(Company Name) (t.. Pt, ~~,"TT (J () ~ C 1- "}:\.:l(...
(Contact Name) ,\ ~o ~ ~..'" \\
(Address) 'P,tJ . ~o...... f!:::Ic, ~?~ 9 t\ ""<i>0c... t-\. ~, ~"07'
(Phone) c:r S z. .7SE> - "2.\ " ~ t!) I~
(Phone) 1t>\ Z. - ~ G"q . '5'5 Co '2.. CZ't..\...
I ~3(') Z.800:-~ oS"'-\...:). ~~ rf\1\-G,va.
TYPE OF WORK RNew Construction o Deck o Porch ORe.Roofing ORe.Siding OLower Level Fimsh 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: OI.R.C. il]I.B.C.
Type of Construction: I
Occupancy Group: A Ui) E
Division:
n
F
I
mIV@A
HIM R
2 3 4 S
B
S U
PROJECTCOST/VALUE $.f. 1'17.000
(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 authonzed agent for the
above-mentIOned property and that aU constmction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official 'fl'revoke this per for 'ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X~ ~: 1:3c. '2...+92- 7(-z.<,la~
Signature...... Contractor's License No. Date
Permit Valuation
Permit Fee ;'f4'J.1.~#4..""'11)
Plan Check Fee \. -
State SurchargeI;'6..'- L41am,r.
Penalty '00+
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I l, I 't 1 ~~.-
$
$
$
$
$
$
$
$
to 1; '7. 2..5
4~1~.(P\
'578.go
ThiSM" '~ar.. 'on8ecomes Y 0\11" Building penni~mzproved
, I if. f.
L't-\~........ 8 2eJ ~
Buildinl! Ollicial ~ Date
$
$
$
I $
I $
I $
1$
IS
I $28. fI+8. (p"
/)
ReceprtNo.
BrJ
0"
I Park Support Fee B50. - # 4
I SAC \ 350 # 4-
I Water Meter Size 5/8"; I"; l 72. .:
I Pressure Reducer I Vt.11
I Sewer/Water Connection Fei1..O/) # 4
I Water Tower Fee 1. ~ # A
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 28. I. -f"1J~ ~v
I Date If. . J. ()~ .
I I
C-~ 1. '2, C4-
3400. -
54 a:> ,'"
~80. ,..
\ 8C).'"
48CD, '
2-8 Cb.-
TIlls .5 to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc<-ed as requ<'Sted. This document I
w . ncd by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ssued
f". ~
Planning Dpi!tor
r
&cro.u~f
Special Conditions. if y
24 hour notice for all inspections (952i 447-9850. fn (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
~~r
(Please type or print and Si~Ilat b, :..".)
ADDRESS
LOT;tBLOCK
. (Address)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Q-dl ~~
FILE: w/wK 4-- de{,q
; ~i~i~e ~::y I PERMIT 'NO. 0 ~ 020 I
3 Yellow Applicant J .
JL//<HJ
4n11~
/~7
PJ~
(Phone)
LEGAL DESCRIPTION (office use only)
I ADDITION ~
t/
~':"e~~A:-l..t hR ifltvlp / (' /11'l1C-1w
I /
C A-PL eWC-r I!-I tC. ,
4i3 1-T;j.. .41/~ N.W. Nh.d~w.#lN Cf51.,-7~-~
~C~~~~Name) _K.~LJt tf f1r~'tA:..f70Vl (Phone) qS:> -/~B - d-/o8
(Contact Name) ~ A ~O ~ jAJ A (Phone) ~o'\-Wl.L A-S * /;m 1/...(...,
(Address) ~.:"h 4vt': AJe..t~ fr'/.l-:f" MtJ (5 &07/
TYPE OF WORK D New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition o Alteration DUtility Connection 0 Misc.
CODE: OI.R.C. ~B.C. ~ r\\
Type of Construction: v5) I II III IV cy A UV
Occupancy Group: A & E F HIM R S U
Division: I 2 3 4 5
ZONING (office use)
a. -I
PID ;)6# '((4- ()(!;);)-0
DLower Level Finish
PROJECT COST IV ALUE
(excluding land)
r:;'re II:/ar /VI
D Fireplace
$ 5tOD ~
I hereby certifY that I have llirnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIzcd agcnt for the
abovc.mentlOned propcrty and that aU construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:cial;t:Ls PC} fO,r Just ~s;;;;:rmore. I hereby agree that the City ~A 0;;si3~at;te{f =~~ :~\m ne;d ~ns;tl;): 0 S-
I Signature Contractor's License No. / Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
F:Jc:cJO - I
$ //7 7~ I
$ 7h.51- I
$ 7 ;c;-O I
$ I
$ I
$ I
$ 1
I Gas Fireplace Permit Fe, j $ ~ I
Thi~' A,?.:? .;J!/;"~WJ~g p,""" W>!n APP<f'"
~vtljf//;Jn "" c:-? /zz- b~__
, BUlld1l1g om",,," ~ I Date ICj
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
.1 J
tZ-t,../) ~ /-z..Z-/O "
I Paid /t7~ 71fJ'
I Date .!:? 2-7... L' ,-
# $
# $
$
$
# $
# 1$
I $
I $
I $ /q6,~ 79
/ I /
Receipt Np., ~tle~
By ~L-
ThIS IS to certifY that the requcst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. This documcnt
when signcd by the City Planner constltutcs a temporary Certificate of Zoning l'Ompliance and allows construction to commence. Before occupancy, a Ccrtlficate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1 Green File
2. Yellow City
3. Gold Applicant
;::7L. e- tJ!04-. 08(Pf~
PERMIT NO. aG /~/~
(Please type or print and sil!;ll at bottom)
ADDRESS
/~/J.tP ~~/!1j /;~/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~ . // .,~ ~/~
(Name) #~- JttMi/A fl/M/tk /71'-../
(Address)
(Phone)
(Address) (City)
(Zip Code)
~ $ ~~&<<b/J..; (Phone) ~5d-. - 7'5' X - :2/ rJ f?
2-8!ld.,d: A~d"' ..1tbrhUIP.L gAl $b'v7/
(Address) (~) (Zip Code)
(Contact Person) ~h'fk' If/'cC/(/,(C (Phone) 9j-.z... 7s."e -- 21 {)g
,APPLICANTSIGNATURE _~~ ~~ DATE 3-;J.1J - 0>
APPLICANT PLEASE COMPLETE BELOW
APPLICANT // /f
(Name) ~ ! 1/ .
(Address) / ~- ? tJ
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minir
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ,~(7 .5u
$ .50
$ I ((" --
(Office Use Only)
Building Official
Date
paidlfC:J "...--.
Date:? .-cS'" 5"
. Receipt &9t [) 9S
By ~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and si2l1 at bottom)
ADDRESS / J IZ 0
rl. etJl1~6~
/6119,04-
-'/1.11110/04-. 08"9
~. ~~ ~:~ PERMIT NO.AA.-, (0"1)1
3. Yellow Applicant vr C/
//1/{5.
ZONING (office use)
C,/
LEGAL DESCRIPTION (office use only)
LOT ZBLOCK I ADDITION 07'f10161 (rr
PIDZS'. /9+ ~OZ (I
.0',
OWNER
(Name)
(Jr/p,cGK-
(Phone)
(Address)
APPLICANT
(Name) il t.A-;-; V <.s- CD rJ >~"'- ~ ~T>
(Address) 2-D \ ~+"- s,+.. W
(Address)
(Contact Person) S' Cot\- ~..c.J
APPLICANT SIGNATURE -:-~A-
(Phone) GS 2 - 7 S-g - Lf 72 7
N a....v ~ ra..s .""",--
(City) (Zip Code)
(Phone)
a
DATE
/ t':> ~? /0 '1'
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
I Floor Drain I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I 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 $ ho. 23 0
Building Permit # 0,,", 10" [;
r
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(,Dz.80
.50
(..0.3 -.$ tL
......- ....... II _
our BUild~erft Wfen Approved
10//?/ tJ4-
~ I ' ~jDate
Paid ~ OJ. .3 0
Date/O.l' ,() f-
. Receipt NO'#89 /
IB~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
~OOl
/X/-c:?$S
CITY OF PRIOR LAKE L/ (
HEATING/AIR CONDITIONING/J4IKEPLACE PERMIT
(Please ~r and aim It bonum)
I ADDRESS .. ,
---B.1u? r ~c.e &Y) frM La{(eJJJJ 'Y:J372
I. Plok
1. a-
t V.U-
Date Rec'd
// /.11. 04--
)!.ALe/N tJ4-.o8(p7
S,CIIlI!ERMlTNO.04. /2/2- j
ZONING (oftleellle)
(!..,f
LEGAL DESCRJ.r uON (c.ftil:e use only)
tOT 2 BLOCK I ADDmON J1t1vl E.s I S; r
. g;::e~"j~ iLtS1Vl~ ,JMc
(Address) J
PID 26. /94-. OoZ.O
'-
(Phone)
(Phone) ,
· Y-P nr)~Jr/l1JJuj6 IliIJ $#-7
('l!J,/ . (Zip Code)
. (Phone) ljip ~ '> 3 ( -:+ 7a--1
APPLICANT SIGNA _ DATE -//- //; ~(J4- "
/ APPLICANT PLEASE COMPLETE BELOW
dmw CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETIJRN OPENINGS INPUT . OUTPUT
lYPE OF SYSTEM HEATING OR POWER PLANT
. . ~w Air Plants
o vity
anital .
... Ir Conditioning
] ent. System
OSrclll'l
o Hot Water
o Radiation
o Special Dcvices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ,
FEE SCHEDULE
Industrial. Commcrcial &. Multi-Family 1'Yo or job cost Residential. Oas Fireplace $)9.'0
$39.50 minimum
Residential. Heating &. AlC (New Construction) 599.50 Residential. Additions & Alterations $39.50
Residential, Heating Only (New Construction) 564.50 Residential, AC Only $39.50
Estimated Cost t~~~.fdCrl!:Jf'~ Building Permit # 04. /2/ 2-
HEATING PERMIT FEE s~ ~i3tJ~--
STATE SURCHARGE $---". ~. f t?
TOTAL PERMIT FEE $;~::Il:E.Q1'F' / 6
(Ornet Vat Only) ~~ -I .......-? ;,(7".5 C?
Th;, Applie.';.. IIecom.. V.or Bollding Permit Whe. Appro.... I Plid 330 . 5V Roc:eipt N.. <f6 3'12- '
#~N- /..L/4~~. Date/Z.8_ /\A BfP
Ihaildlnc omci" Dirt . _ ffr"
24 hour notice for III inspections (952) ....7-9850. fill (95%) ..47....245
tfiU(lJ I~. 7. () 4-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
..
-'
CC>M.M6~C.& ~
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING I /C,I ~/(L
PERMIT NO. 01. OtJh9 DAtE ISSu'ED B ( "l.c /~4
CONTRACTOR K.A-.tJ,d- Gv~ we PHONE "'t';)'2.-"1'5S. 'l...1~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\~\~
pATE /
dq I flP/tk/
, FOUNDATION (Prior to Backfill) I ~# I/~/~;,/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Rql)~J-i - 1t;J~ /;'//7/~
SEWER I WATER I SEPTIC 0.~:',;:' · rJ' ~ 1 h. e,/6~
FRAMING . M ,1 ///I/O-S-
INSULATION l ~~ ./ ~/~.s""-
ELECTRICAL
. J
PLUMBING t/,U'. ItJb~~ ~ ~J-~ I,
HE~TING (if required)
FIR~PLACE
GAS~ LINE AIR TEST-.5 i-~" k ;2Jt /~~ / po ~~
-"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
~'-pp-,~(LL6P-nv/iqh5 ." I
~ '\ r: '"$ .Lq ~~ : ~?P''fN A L S
GRADING (Prior to Sodding), . II , . I
BUILDING7e~~ ~a v,,-t/7ft/~. '.dP/ ~s-AJ.) ~lJJJf'/fJ5
ELECTRICAL' ., fj~s; f71"" '
PLUMBING ~;~. '1{~ 1f~~ ~. .
HEATING .:i/i z/o~ RoJ,)
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.
INSPECTOR
I FOOTING
"
///;l. ~'5-
FOR ALL INSPECTIONS (952) 447-9850
."". .,.. _M _'._~____......~,_...,___._'_..~,..,~,,__.......~..,.~_.~..~..._..>>.._~
~__c -
Th;''("f'nlf'r of Ihf' t.kf ('ounlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
CHI1K.U;:'S /l!OVrl/<... (!tl<<f#-/~-e~
Cc . :?C). U 4-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
'~pplication for construction activity which is proposed at:
/4/20 (:C/I/lvlc/c:.t!/C /IVENUE
(FL' / L. he L,'/(. //c' I/v i3:)
Accepted With Corrections
Accepted
v
,
Denied
Reviewed ~ VY\. ~
Comments: I. Loe Af. <i\.c.LJ& :~O ~
~~ ~~CO-
..- u v ~
Date: , 1:J..o ( e 0/
L J
13S~~ ~ -J:;-.
"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."
-
..
White . Building
Canary . Engineering
Pink . Planning
Tht' ('"nln or Ihf' 1....1' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
01 flK../..-E. 5 /II 0 VA /<. ~ /7E- a)
G. 30. 64-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/20 eO/7fV7elG-~ !1VENU6
(rt/TV/G-6 o/e. /-/C"/Nc)
Accepted With Corrections
Accepted
)C
(
Denied
Reviewed By: ~;:?
/ ~.
Comments:
. Date:
~ !'l!ot4
-
,. 7L- E""y'-'U-- ok:;, Dle? p+. .(2~e/'S +k.. J 'r'-.oI ('.-~ c..::..dc(
b.:... tJ.o...-.~ ...\"." ~ c;,...) ~'1 K.4;.+ € f~ill'\.A .lvv:t7-eS $'.)0"-'--
t
~~ ~ ~'~ ~b~'S ~
30' V'e.. k:' <..1 ~ -t-u - '" ~ --- -S v-.. 'bv ~ .~ f r ~7 \.l'~ ~~ >
vc- k ( L \e -.L,-=> -1-,... C\. v c... ,
7k
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o~....~<:..- ~ r~ t<~)V'.'~ \jJl\../1 c:~~ s 'i-v L~ i~~
- As - B.J.I' t +-$ u.,).\ II b<?- ~c.<?5sC""'-1 on ~~ Cc......st".....J (...f..CkI '.
"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."
~~
White - Building
Canary - Engineering
Pink - Planning
The ("tn'tr or the L.kf Coun..,.'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Cfil'lJeL6S ;V'OVI"l K ~ I 'TEa)
G. 30.64--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/20 eOnne~ /7t/&NU6
(r{/Tl/~ OK-. HeINe)
Accepted Accepted With Corrections V
Denied
121J!~
~
Date:
3~!o4
Reviewed By:
Comments: I. SIE,?J~ ibv/Nv[
~~iJ ~;2- "C,rVA/(I.
:J. ~P6C/(~<- !NSP&'11DN ~4 R6:?iJ.
"2.. D (' l' A1l
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...
bF- F(~ b6PAfL~~r" Lo~ BCf F.p. Co/J,AJ&//((,f'.J
I
r,.\~ ~~ ~~~ (10c.c,..v/)-lJ{)
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F //1./(561
P&2M I v
4.
5.
~ p<.-\. CA-'ll....J ~
P"\le-1.6v-r r rJ
O~PA1-J1
"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."
DATE RECEIVED CITY OF PRIOR LAKE
/ /. 2"2 .04- BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
I'-t-/20 COhnl2.flcfi. At/a "-r
3. LEGAL DESCRIPTION
1. DATE
fI(lf/olt-
(!../
LOT
Z BLOCK I PID 25: jtf tf., _ ()O'L. V
PIl.O Fn:.SSlokA. L e>".rzl ~ff f3(..{)C. .:::rfit1E.S I.g
ADDITION
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
(Tel. No.)
1. White File
2. Pink City
3. Yellow Applicant
rlL.E- WI01-. 0 B&/{
Permit No. _ () 5 000 ei
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name) (Address) SC-lOkOM It", ~ JO')6f1-1.t,.2.-W 7~15. NUMBER OF OCCUPANTS OR SEATS
IN7'L PlltfL P{t07~C7(OIv 2ll7~Itt'iA/)Du..-&(!)c)kA,t/iIL Iv OCCUPANTS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 SEATS
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re.siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
Chimney 0 Misc. F I hfi: SPIl ( Nit.. '-till S 'r t71JC It ~ 2. ~ I~D. ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No I /3.1 / OS
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 w~h submitted plans. I am aware that the
building off"" ~ revoke !his P~2 just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X U~'^- (/thtt#O..o C C'f(!r III1 '/t?1.--
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~C>,. ac.>'"? f!:JC)
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
City:
Occupancy Group A B E F H , R S U
Division 1 2 3 4
Permit Fee ................................... $---.23c) ~.oo
Plan Checking Fee ......................... $~ . ':? ~
tf) . ()7J
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
:rt~:t~'h .
Certificate of Occupancy
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
PLOT PLAN
o
Amount Brought Forward .... .. .. .... ...... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ....... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
C~/Y :';:i~~j;::::::::~=~: <J:/d S
Issued It' 5 /J//ML
ih~ 0 Date Z.z.'2"OS- By A~.LL
This is to certify that the request in the above application and accompanying documents is in dccordance with the City Zoning Ordinance and may proceed aJ'equested. This document when
signed by the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
24 hour notice for all inspections 447.4230
Special Conditions ff any
A
Fire Sprinkler Review
14120 Commerce Ave. N.
Professional Building
1. Separate pcullits are required for fire alarm system.
2. The 1999 addition ofNFPA 13 shall be the standard
3. It is the responsibility of the fire sprinkler contractor to flush all
mains, supplies, and branch lines to insure the proper operation of the
system.
4. All materials shall be tested and approved for the intended use.
5. Provide approved audible sprinkler flow alarm at the Fire Depfu llllent
connection and through out the interior of the building in an approved
locations where normally occupied.
6. All valves alarms controlling supply lines, water flow alarms, trouble
signals shall be distinctly different. All alarms shall be monitored in
an ap1!loved manor.
7. The fire sprinkler contractor shall provide to the City of Prior Lake a
list of all monitored items at the sprinkler final.
8. Seal all penetrations in rated walls and ceilings.
9. Note approved location of the FDC
10. All head types, location and obstructions etc. will be field verified.
11. Provide sprinkler head information at the hydrostatic test.
Call (952) 447-9850 for inspections. 24 hr. notice required
CUSTOM DESIGN FIRE PROTECT
Page 1
Date
Hvdraulic Desiqn Information Sheet
Name - PROFESSIONAL OFFICE BUILDING
Location - 14120 COMMERCE AVE. N., PRIOR LAKE, MN.
Building - EYEY CLINIC
Contractor - INTERNATIONAL FIRE PROTECTION
Calculated By - DOUG CARLSON
Construction: ( ) Cornbustib~e (X) Non-Cornbustib~e
Occupancy - LIGHT HAZARD
s
Y
S
T
E
M
C
o
M
M
S
T
o
R
A
G
E
(X) NFPA 13 (X) Lt. Haz.
( ) NFPA 231 ( J NFPA 231C
Other
Sped fic Ruling
Date - 10-11='04
System No. - 1
Contract No. -
Drawing No. - 1
cei~ing Height -
Ord.Haz.Gp. ( ) 1 ( ) 2 ( ) 3 () EX.Haz.
( ) Figure Curve
D
E
S
I
G
N
Area of Sprinkler Operation - 900
Density .1
Area Per Sprinkler - 180
Elevation at Highest Outlet - 10
Hose Allowance - Inside
Rack Sprinkler Allowance
Hose Allowance - Outside - 100
Note
Calculation
Summary
Made By Date
System Type
(X) Wet
( ) Dry
( ) Deluge
( ) Preaction
( ) Other
sprinkler/Nozzle
Make RELIABLE
Model F1FR
Size 1/2
K-Factor 5.6
Temp.Rat.155
Flow Required - 366.39 Press Required - 62.30
C-Factor Used: 120 Overhead 140
At CITY
Underground
W
A
T
E
R
Water Flow Test:
Date of Test - 2002
Time of Test
Static Press
Residual Press
Flow
Elevation
Rated Cap.-
@ Press
Elev.
Pump Data:
- 76
- 52
- 2000
S
U
P
P
L
Y
Location - COMMERCE & HIGHWAY 13
Source of Information - CITY WATER DEPT.
Commodity
Storage Ht.
Storage Method:
Solid Piled
Class
Area
%
R
A
C
K
Single Row
Double Row
Mult. Row
Conven. Pallet
Slave Pallet
Flue Spacing
Longitudinal
Horizontal Barriers Provided:
Tank or Reservoir:
Cap. -
Elev.-
Well
Proof Flow
Location
Aisle W.
Palletized %
Rack
( ) Auto. Storage
( ) Solid Shelf
( ) Open Shel f
Encap.
Non
Clearance:Storage to Ceiling
Transverse
CUSTOM DESIGN FIRE PROTECT
Page 2
Date
City Water Supply:
C1 - Static Pressure : 76 PSI
C2 - Residual Pressure: 52 PSI
C2 - Residual Flow : 2000 GPM
150
01 - Elevation 4.331 PSI
140 02 - System Flow : 266.39 GPM
02 - System Pressure : 62.302 PSI
130 Hose ( Adj City ) : GPM
Hose ( Demand ) : '100 GPM
P 120 03 - System Demand : 366,39 GPM
Safety Margin : 12,659 PSI
R 110
E 100
S 90
S 80 ~
U 70 1D2 -
R 60 -~
103 -- - C
-
E 50 f
40
30 j,
I
20
t
10
. . n1
200 400 600 800 1000 1200 1400 1600 1800
FLOW ( N ^ 1.85 )
Com outer Proarams bv Hvdratec Inc. Route 111 Windham N.H. USA 03087
~itting~ Summary
CUSTOM DESIGN FIRE PROTECT
Page 3
Date
Fitting Legend
Abbrev.
Name
A
B
C
D
E.
F
G
H
I
J
K
L
M
N
o
P
Q
R
S
T
U
V
W
X
y
Z
Generic Alarm Va
Generic Butterfly Valve
Roll Groove Coupling
Dry Pipe Valve
90' Standard Elbow
45' Elbow
Gate Valve
45' Glvd-Vic Elbow
90' Grvd-VIC Elbow
90' Grvd-Vic Tee
Detector Check Valve
Long Tul'J'l Elbow
MedlumTum Elbow
PVC Standard Elbow
PVC Tee Branch
PVC 45' Elbow
Flow Control Valve
PVC CoupllnglRun Tee
SWing Check Valve
90' Flow thru Tee
45' Flrelock Elbow
90' Firelock Elbow
Wafer Check Valve
90' Firelock Tee
Mechanical Tee
Flow SWItch
Fittings Summary
CUSTOM DESIGN FIRE PROTECT Page 4
Date
Unadjusted Fittings Table
1/2 314 11/4 11/2 2 21/2 3 31/2 4
A 7.7 21.5 17.0
B 10.0 10.0 10.0 10.0 10.0 10.0 12.0
C 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
D 9.5 17.0 28.0
E 2.0 2.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 10.0
F 1.0 1.0 1.0 1,0 20 2.0 3.0 3.0 3.0 4.0
G 1.0 1.0 1.0 1.0 2.0
H 1.0 1.5 2.0 2.0 3.0 3.0 3.5 3.5
I 2.0 3.0 4.0 3.5 6,0 5,0 8,0 7,0
J 4.5 6.0 8,0 8.5 10,8 13.0 17.0 16.0
K 14.0 14.0
L 1.0 1.0 2.0 2.0 2,0 3.0 4.0 5.0 5.0 6.0
M 2.0 2.0 3.0 3.0 4.0 5.0 6.0 6.0 8.0
N 7.0 7.0 7.0 8.0 9.0 11.0 12.0 13,0
0 3.0 3.0 5.0 6,0 8.0 10.0 12.0 15.0
p 1.0 1.0 1.0 2.0 2.0 2.0 3.0 4.0
a 18.0 29.0 35.0
R 1.0 1.0 1.0 1.0 1.0 1.0 2.0 2.0
5 4.0 5.0 5.0 7.0 9.0 11.0 14.0 16.0 19.0 22.0
T 3.0 4,0 5.0 6.0 8.0 10.0 12.0 15.0 17.0 20.0
U 1.8 2.2 2.6 3.4
V 3.5 4.3 5.0 6.8
W 10.3
X 8.5 10.8 13.0 16.0
Y 2.0 4.0 5.0 6.0 8.0 10.5 12.5 15.5 22.0
Z 2.0 2,0 2,0 3,0 4.0 5.0 6.0 7.0 8.0 10.0
5
6
8
10
12
14
16
18
20
24
A 17.0 27.0 29.0
B 9,0 10.0 12.0 19.0 21.0
C 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
0 47.0
E 12.0 14.0 18,0 22.0 27,0 35.0 40.0 45.0 50.0 61.0
F 5.0 7.0 9.0 11.0 13.0 17.0 19.0 21.0 24.0 28.0
G 2.0 3.0 4.0 5.0 6.0 7,0 8.0 10.0 11.0 13.0
H 4.5 5.0 6.5 8.5 10.0 18.0 20.0 23.0 25.0 30.0
I 8.5 10.0 13.0 17.0 20.0 23.0 25.0 33.0 36.0 40.0
J 21.0 25,0 33.0 41.0 50,0 65.0 78.0 88.0 98.0 120,0
K 36.0 55.0 45.0
L 8.0 9.0 13.0 16.0 18.0 24.0 27.0 30.0 34,0 40,0
M 10.0 12.0 16.0 19.0 22.0
N
0
P
Q 33.0
R
5 27.0 32,0 45.0 55,0 65.0 76.0 87.0 98.0 109.0 130.0
T 25.0 30.0 35.0 50.0 60.0 71,0 81.0 91,0 101.0 121.0
U 4.2 5.0 5.0
V 8.5 10.0 13.0
W 13.1 31.8 35.8 27.4
X 21,0 25.0 33.0
Y
Z 12,0 14,0 18,0 22.0 27,0 35.0 40,0 45.0 50.0 61.0
Pressure I Flow Summary - STANDARD
CUSTOM DESIGN FIRE PROTECT Page 5
Date
Node Elevation K-Fact Pt Pn Flow ~ Area Press
No. Actual Actual Req.
1 10.0 5.6 11.51 na 19.0 .1 190 7.0
2 10.0 K=K@2 12.29 na 19.0
3 10.0 K=K@2 13.21 na 19.7
4 10.0 K=K@2 13.75 na 20.1
5 10.0 17.68 na
7 10.0 K=R@2 12.29 na 19.0
8 10.0 K=K@2 13.21 na 19.7
9 10.0 K=K@2 14.12 na 20.36
10 10.0 K=K@2 14.61 na 20.72
11 10.0- K=K@2 16.51 na 22.02
14 10.0 K=K@2 12.29 na 19.0
15 10.0 K=K@2 13.44 na 19.87
16 10.0 K=K@2 14.4 na 20.57
17 10.0 K=K@2 15.4 na 21.27
18 10.0 K=.K@18 36.26 na 89.25
12 10.0 K=I5@12 36.32 na 101.81
6 10.0 K=K@6 36.66 na 75.33
RSR 10.0 45.99 na
BAS 0.0 58.31 na
SPG 0.0 61.69 na
CITY 0.0 62.3 na 100.0
The maximum velocity is 19.73 and it occurs in the pipe between nodes 11 and 12
Final Calculations - Standard
CUSTOM DESIGN FIRE PROTECT
Page 6
Date
Qt
PflUl
Fitting
or
Eqv. In.
Pipe
Ftng's
Total
Pt
Pe
Pf
Pt
Pv
Pn
****.*.
t4ot~ . ......
Hyd.
Ref.
Point
Oa
Dia.
"C"
1 19.00 1.104 1T 6.413 2.000 11.511 K Factor = 5.60
to 120 6.413 0.0
2 19.0 0.0922 8.413 0.n6 Vel = 6.368
0.0
19.00 12.287 K Factor = 5.42
2 19.00 1.104 10.000 12.288 K Factor @ node 2
to 120 0.0 0.0
3 19.0 0.0923 10.000 0.923 Vel = 6.368
3 19.70 1.452 . 6.000 13211 K Factor @ node 2
to 120 0.0 0.0
4 38.7 0.0907 6.000 0.544 Vel = 7.498
4 20.10 1.452 20.000 13.754 K Factor @ node 2
to 120 0.0 0.0
5 58.8 0.1964 20.000 3.929 Vel = 11.393
5 0.0 1.452 1T 7.686 16.000 17.683
to 120 7.686 0.0
6 58.8 0,1964 23.686 4.653 Vel = 11.393
0.0
58.80 22.336 K Factor = 12.44
7 19.00 1.104 10.000 12.288 K Factor @ node 2
to 120 0.0 0.0
8 19.0 0.0923 10.000 0.923 Vel = 6.368
8 19.70 1.452 10.000 13.211 K Factor @ node 2
to 120 0.0 0.0
9 38.7 0.0906 10.000 0.906 Vel = 7.498
9 20.37 1.452 2.500 14.117 K Factor @ node 2
to 120 0.0 0.0
10 59.07 0.1980 2.500 0.495 Vel = 11.445
10 20.71 1.452 5.500 14.612 K Factor @ node 2
to 120 0.0 0.0
11 79.78 0.3455 5.500 1.900 Vel = 15.458
11 22.03 1.452 1E 3.843 25.000 16.512 K Factor @ node 2
to 120 1T 7.686 11.529 0.0
12 101.81 0.5424 36.529 19.812 Vel = 19.726
0.0
101.81 36.324 K Factor = 16.89
14 19.00 1.104 12.500 12288 K Factor @ node 2
to 120 0.0 0.0
15 19.0 0.0922 12.500 1.153 Vel = 6.368
15 19.87 1.452 10.500 13.441 K Factor @ node 2
to 120 0.0 0.0
16 38.87 0.0913 10.500 0.959 Vel = 7.531
16 20.57 1.452 5.000 14.400 K Factor @ node 2
to 120 0.0 0.0
17 59.44 0.2004 5.000 1.002 Vel = 11.517
17 21.27 1.452 2T 7.686 25.000 15.402 K Factor @ node 2
to 120 15.373 0.0
18 80.71 0.3529 40.373 14.249 Vel = 15.638
Final Calculations - Standard
. .
at
Dia.
"e"
PfIUL
Fitting
or
Eqv. Ln.
Pipe
Ftng's
Total
Pt
Pe
Pf
Page 7
Date
Pt
Pv * Notes ******
Pn
CUSTOM DESIGN FIRE PROTECT
Hyd.
Ref.
Point
aa
0.0
80.71 29.651 K Factor = 14.82
18 89.25 3.26 8.000 36.257 K Factor @ node 18
to 120 0.0 0.0
12 89.25 0.0082 8.000 0.066 Vel = 3.431
12 101.81 3.26 10.000 36.324 K Factor @ node 12
to 120 0.0 0.0
6 191.06 0.0338 10.000 0.338 Vel = 7.344
6 75.33 3.26 2E 9.408 110.000 36.662 K Factor @ node 6
to 120 1T 20.159 38.974 0.0
RSR 266.39 0.0626 148.974 9.324 Vel = 10.239
RSR 0.0 3.26 4E 9.408 90.000 45.986
to 120 37.631 4.331
BAS 266.39 0.0626 127.631 7.988 Vel = 10.239
BAS 0.0 4.2 1B 14.746 4.000 58.306
to 120 1G 2.458 17.204 3.000 Fixed loss = 3
SPG 266.39 0.0182 21.204 0.386 Vel = 6.169
SPG 0.0 6.16 2F 10.042 200.000 61.692
to 140 1E 20.084 87.509 0.0
CITY 266.39 0.0021 1T 43.037 287.509 0.610 Vel = 2.868
1G 4.304
100.00 aa= 100.00
366.39 62.302 K Factor = 46.42
Model F1 FA Sprinkler Types
Standard Upright
Standard Pendent
Conventional
Vertical Sidewall
Horizontal Sidewall
- HSW 1 Deflector
Model F1 FA Rec~"J Sprinkler Types
Recessed Pendent
Recessed Horizontal Sidewall
- HSW 1 Deflector
Ustings Ie Approvals
1. Usted by Underwriters Laboratories. Inc. (UL)
2. Listed by Underwriters' Laboratories of Canada (ULC)
3. Certified by FM Approvals
4, LOSS Prevention Council (LPG. UK)
5. NYC BS&A No. 587-75-SA
6. Meets MIL-8-901C and MIL-STD 167-1
.7. Verband der Schadenversicherer (VdS. Germany)
8. NYC MEA 258-93-E
I UL Usti Category
SPrinkler~ Automatic & Open
Quick Response Sprinkler
I UL Guide Number
VNIV
Product Description
ReiabIe MocJeIs F1FR and F1FR R~ Sprinklers are
qlick respJnSe sprinklers which combine the dl.rabilily of a
standard sprilkJerwith the a,;;'o.,,~/e low profile of a cb..u.cm.Je
sprinkler.
The Models F1FA and F1FA R~ au,,,, ,.cmc "tJ';' ~Jers
utilize a 3.0 rrm frangible glass bubo These sprirl<Jers have
demonstrated response times in laboratory tests whid'l are five
to ten times mer than standard .~... hXI sprinklers. This
quick,~ ,sa enables the Model F1 FA and F1 FA Recessed
sprinklers to apply water to a fire rruch faster than sta..Ja.J
sprinklers of the same lCl'IfJOIat\.re ratilg.
The glass bub consists of an accurately cootroIIed arrount
of special f1lid hermetically sealed inside a precisely manufac-
tured glass capsule. This glass bulb is ~ CYl ~ ucted to
provide fast thermal response. The baJance of parts are made
of brass. copper and beryllium nickel.
At normal temtJ01o.,tJres. the glass bulb contains the fluid
in both the liquid and vapor phases. The vapor phase can
be seen as a small bubble. As heat is applied. the liquid ex-
pands. forcing the bubble smaller and smaller as the liquid
pressure increases. Continued heating forces the liquid to
push out against the bulb. causing the glass to shatter.
opening the waterway and allowing the deflector to distrib-
ute the discharging water.
The temperature rating of the sprinkler is identified by the
color of the glass bulb.
The Reliable AuIomaIic SprInkler Co., Inc. 525 North MacOuesten Parkway. Mount Vernon, N6'vV York 10552
Reliabl~
Bulletin 136 Rev.L
Model F1 FR
Model Fl FR Recessed
Quick R'esponse.
Sprinklers
(lJ
c
~
::J
.....
VJ
(j)
:0
CD
<
.j-
Upright
Pendent
Vertical Sidewall
Conventional
Horizontal Sidewall
HSW 1 Deflector
Recessed Pendent
Application
Quick respv. hX> '>tJl;1 .KJers are used in fixed fire protec-
tion systems: Wet. Dry, Deluge or Preaction. Care must be
exercised that the orifice size. temperature rating. deflector
style and sprinkler type are in accordance with the latest
published standards of the National Rre Protection Asso-
ciation or the approving Authority Having Jurisdiction.
Quick res."v. ,,:)U s..,,;, II Jars are intended for installation as
specified in NFPA 13. Quick response sprinklers and stan-
dard res.,.v. ~ sprinklers should not be intermixed.
Model F1 FA Quick Response Upright, Pendent & Conventional Sprinlders
Installation Wrench: Model 0 Sprinkler Wrench
Installation Data:
SprInkler Type K F8CIIor SprtnIder SprInkler IdenItllCllll!On
s;... .';"'J-UprVlt (SSU) and Pendent (SSP) Approval Number (81M
Deflectors Marked tllndicate F..;::'. .. US MeIrIc HeIght OrgenIz8tion ssu SSP
Yo" (15rrm) Slandard Orifice With Yo" NPT(AY.) Thread 5.6 . 80 2.2" (56rrrn) 1.2,3,4.5.6,7 R3625 R3615
'V.." (2Orrm) \Hoe Orificewilh ~ NPT (R%)Thread 8.0 115 2.3" (58nm) 1.2.3.4.7.8 R3622 R3612
7;{." (17nm) Small Orifice With Yo" NPT (AX) Thread 4.2 60 2.54" (65nm) 1.2.8 M.X>'<:'> R3613
'Y." (10rml) Small Orifice wi1h Y.f NPf (A);) Thread 2.8 40 2.54" (65nm) 1,2,8 R3621 R3611
1crnm Orifice XLH with R%"Thread 4.2 60 56.1nm 4.6.7 R3624 R3614
I Con~"" .;;'" o:J-lnslall in Upr91t or r ,,-, ...;"" .t Pos~ion
1crnm Orifice XLH with R% Thread 4.2 60 56.1mm R3674
15mm s;... ...;.., JOriflCe wi1h X" NPT (R,Y.) Thread 5.6 80 56. 1mm 4.6.7 t1,X)'O
20mm IHge Orifice with %" NPT (WA)Thread 8.0 115 58.4mm 4.7 M.x>,"-
Upright
Pendent
Upright
Conventional
Model F1 FR Quick Response Recessed Pendent Sprinkler
Installation Wrench: Model RC 1 Sprinkler Wrench
Installation Data:
Nominal Thread K Factor Sprlnklar Approvai<l) Sprinkler identification
Orifice Size US MetrIc Height Orgenlutlons Number (SIN)
y," (15nm) y," NPT (RYz) 5.6 80 2.2" (56nm) 1.2,3.4.5.7.8 R3615
%" (2Onm) r."I\PT (R%) 8.0 115 2.3" (5Brrm) 1.2.3 R3612
U.. (llnm) Y,"I\PT (RYz) 4.2 60 2.54" (65mn) 1,2.8 R3613
Yr:' (lOrrm) ,Y." NPT (RYz) 2.8 40 2.54" (65mn) 1.2.8 R3611
I lcrnm RY. 4.2 60 56.1mm 4.7 R3614
(1) Refer to escutcheon data lable for approvals and dimensions.
JLfII _
1In_
1It;IrIfST_
IfjI(IC>t -~ -
_ Z 1/.- HDIE IlIl
{IU.z-oJ -
- I :::.::..r -'
(-~ .-1
~~,~I.XIIY_
I/Ir J
{.u-J
FN:E ...'_ 70(11
~_{ u.
e,1
1
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~///h2
2 Zl/Jl' /lM,
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r.J6Tt'XJfO
(I) _IV __ _ 1lIRl___--.
2.
CITY OF PRIOR LAKE
BUILDING INSPECTION DEPARTMENT
COMMERCIAL & MULTI-UNIT PLAN REVIEW CHECKLIST
Project Name: \-\ I, t-Jt:~ ~~'<=-6-rl- s4/c::> 4-
"J c.
~-
~M 1'-1, ...;;:., \2 c~
Ave
Job Address:
I. CLASSIFICATION OF BUILDING:
A. Use of Building
1. Occupancy Group (Table 5-1) B
2. Occupancy Separations (Table 5-B) t-.J 0 t-JE.
B, Type of Construction (Table 5-A) ~-B
C. Location of Property
~ r W I
Front _/d:> ~ Rear ti::::>O
""'-.
J
L. Side
lq
N
R. Side
-24
2.
D.
Floor Area
1. Actual ( SI 5
2. Allowable (Table 5-C) 4 Oce:;J
3. Area Increase
a)
Open Area (505)
l?~
Sprinkler (505.3)
f'J D"r e €. ~r::>
b)
c) Multi-Story (506)
4. Mixed Occupancy Calculation =
E. Height and Number of Stories
1. Actual: Stories Height 1. "
5C?'?
2. Allowable (Table 545): Stories 2.. Height ~ 0
3. Allowable Increase +-
F. Occupancy Load
1. Sq. Ft. per Occupant (Table 33-1)
2. Total Occupant Load
II. DETAIL REQUIREMENTS:
A. Table 5-A/Sections 1803, 1903,2003,2103.
1. Opening Protection C:J
2. Wall Protection 0
1"A~~ ~2-
B. Fire-Resistive Requirements (Table 17-A) ~
C. Type Construction Requirements
1. Chapter ;51., ~
D. Occupancy Requirements
1. Chapter.3
Exiting (Chapter~ \ 6>< J..,.
1" flA v!E:: I-
?~Q It: NA,J 'I
P\S'tAI'-Je...oS- \ 51 l~s 't~ t.oo' ~\....~ I <Jo~. L
E.
F. Fire Extinguishing Equipment
1.
Sprinkler
'-( ~ \ ~Cf.:,
2. Standpipes}Jo
G. Roof Covering Required
1. Fire Retardant
2. Ordinary
H. Handicap Requirements
I. Sanitation
J. Ventilation
Plrevlew
dini
Fin Il(uipnnI Ca., ...
www.nardlnlflre.com
Record of ComDletion
p.1lOs County Road E W
~ St. Paul. MN 55126
Phone: (651) 483~31
Fax: (651) 483-6945
D 303 20th Street North
Fargo. ND 58102
Phone: (701) 235-4224
Fax: (701) 235-5089
PAGE 1 OF 4
Name of Protected Property:
Address: } ,i) ( ',!i \ i , ,
Rep. of Protected Property (Name/Phone):
Authority Having Jurisdiction:
Address/Phone Number:
1. Type(s) of System or Service:
'v NFPA 72, Chapter 3 - Local
If alal!l1 is transmitted to location(s) off premise, list where received:
"
l
(
,'" I
)
i
"
,I (' ;. l,../
I v"
L
"l ' !
,- -....
...., -')
'-
.. (( /v-
NFPA 72, Chapter 3 - Emergency Voice/Alarm Service
Quantity of voice/alarm channels: Single: Multiple:
Quantity of speakers installed: Quantity of speaker zones:
Quantity of telephones or telephone jacks included in system:
NFPA 72, Chapter 4 - Auxiliary
Indicate type of connection:
Local energy: Shunt Parallel telephone:
Location and telephone number for receipt of signals:
\
\ / _d'-'
NFPA 72, Chapter 4 - Remote Station
,)
Alarm signal received at'-.. <~ I I" C t~ y'--'"
Supervisory signal received at
NFPA 72, Chapter 4 - Proprietary
If alarms are retransmitted to public fire service communications center or others, indicate location
and telephone number of the organization receiving alarm:
\
,(. I.' ,"'\
Indicate how alarm is retransmitted:
_.,( 'C
/ 1:' );"j~- f~) f:-~
NFPA 72, Chapter 4 - Central Station
The Prime Contractor:
\ '\'. -, i
u )It II
l ,.. ,
I.. ,-"- \..- . J
(
'-b
( l! ,.:: ,.-
1\./ r c
"
'")
Central Station Location:
, Jrrn',II) t it' n
Means of transmission of signals from the protected premise to the central station:
McCulloh Multiplex One-Way Radio
,
\ / Digital Alarm Communicator Two-Way Radio Others
Means of transmission of alarm to the public fire service communications center:
a. !.,., ( ;v {/ ll; /-'1:'
'.<t."
b.
System location:
1/
Installer
Supplier
Service Organization
Location of Record (As-Built) Drawings:
,,'\A/
Lo~.a~ion of Owner's Manuals:
~ ' )- II >'r'. . """":;>,'
f '. ...\>.- 1/,-_
Location of Test Reports:
f:-
A contract, dated ~",' :~; . (. e:::-' , for test and inspection in accordance with NFPA
Standards No.(s) .' )~; , dated-:'" ('C) I , is in effect.
2. Record of System Installation. (Fill out after installation is complete and wiring checked for opens, shorts,
ground faults, and improper branching, but prior to conducting operational acceptance tests.)
This syster:!Jtfas ~en installed in accordance with the NFPA Standards as listed below, was inspected
by, / /1') on 'O'j -, ')" /""' , includes the devices listed below and has been in service
since ;/ ? ~ C> ~
\, NFPA 72, Chapters...J._"'~~.__L.~_.~__?_~at apply)
"<~ NFPA 70, National Electrical Code, Article 760
" I Manufacturer's Instructions
Other (SI?~Y): . /.'/
SI'gned'. j"" ;'.../"''/
../ ,. .... ~.:::..,,"'--- y",
.,~""" .
Organization: j (-lI'
3. Record of System Operation:
All operational features and functions of this system were tested by /' - ' //;""'.;1'7 _,. .;' ,~/ hi........
on ':,r." 'S-,;i <; and found to be operating properly in accordance with the requirements of:
NFPA 72, Chapters (/1 ;j 4 3 (; 7--.(.cl~e all that apply)
\.,./ NFPA 70, National Eliicfiical <.;ooe, Ani(;jt:: 76&--- ")
/' Manufacturer's Instructions
Other (~~CifY~:. / /'
Signed: ,-_-/f~''''7/ /x,
,.' J
I _/
Organization: /1,J I:....
4. Alarm Initiating Devices and Circuits (Use blanks to indicate quantity of devices.)
MANUAL
a) Manual Stations Noncoded, Activating Transmitters
b) Combination Manual Fire Alarm and Guard's Tour Coded Stations
AUTOMATIC
NARDINI FIRE EQUIPMENT CO., INC.
Coverage: Complete:
a) Smoke Detectors Ion
b) Duct Detectors Ion
c) Heat Detectors FT
d) Sprinkler Water Flow Switches:
e) Other (list):
PAGE 2 OF 4
Organization Name/Phone
Representative Name/Phone
,,~ ...... , I'" '" ,I' +,. ,
, ~ i ' i'~ . , (.~'./ /
(- '" I I /,,:> ... (' (. ; ,I
/ '" I . <' /4.,-~. /' I?, /
',_.
~ /, r
A, r \
Date:
J ("'),
..:);'/"
Date:
-~;'- ~ ~ ,--
Coded
Partial:
Photo
Photo
RR FDRR RC
Transmitters Noncoded, Activating
Coded
NARDINI FIRE EQUIPMENT CO., INC.
! .,",
PAGE 3 OF 4
5. Supervisory Signal Initiating Devices and Cirguits (Use blanks to indicate quantity of devices.)
GUARD'S TOUR: //'
a) Coded Stations
b) Noncoded Stations Transmitters
c) Compulsory G rd Tour System Comprised of Transmitter Stations and
Intermedi Stations
Note: Combinaf devices recorded under 4(b) and 5(a).
,/
SPRINK!-ERSYSTEM:
a) Coded Valve Supervisory Signaling Attachments
b) -z... Valve Supervisory Switches Transmitters
c) Building Temperature Points
d) Site Water Temperature Points
e) Site Water Supply Level Points
ELECTRIC FIRE PUMP:
a) Fire Pump Power /
b) Fire Pump Running /
c) Phase Reversal /
ENGINE-DRIVEN FIRE ~MP:
a) Selector inrto Position
b) Engine gt'Control Panel Trouble
/
c) Fire ~mp Running
ENGINE-D~EN GENERATOR:
a) .,selector in Auto Position
b) )/ Control Panel Trouble
c) // Transfer Switches
gr Engine Running r,-""1 ' ./'"
OTHER SUPERVISORY FUNCTION(S) (SPECIFY) ~ I V
6. Alarm Notification Appliances and Circuits
Quantity of notification appliance circuits connected to the system:
Types and quantities of alarm notification appliances installed:
a) Bells Inch
b) Speakers
c) Horns
d) Chimes
e) Other:
f) I / Visible Signals
g) Local Annunciator
7. Signaling Line Circuits:
Quantity and Style (See NFPA 72, Table 3.6) of signaling line circuits connected to System:
Quantity: Style: ""--/
;
Type:
, .~
I
with audible
7 without audible
NARDINI FIRE EQUIPMENT CO., INC.
PAGE40F4
....
.::t
8. System Power Supplies
a) Primary (Main): Nominal Voltage: J)i" \,/:t(
Overcurrent Protection:Type: \. (, (~
Location: (( I I 'j ,,' 1,..-1
,
_ Current Rating:
. Current Rating: ',~ (
~.....,.
b) Secondary (Standby):
2- Storage Battery:Amp-Hour Rating I2r\JOC
''''-
Calculated capacity to drive system, in hours: Y 24
Engine-driven generator dedicated to fire alarm system;
Location of fuel storage: _" //
c) Emergency or Standby System used as backup to,Primary Power Supply, instead of using a Secondary
//
Power Supply: /
Emergency System described i FPA 70, Article 700
Legally Required Standb ystem described in NFPA 70, Article 701
Optional Standby~em described in NFPA 70, Article 702, which also meets the performance
requirements of,Article 700 or 701.
.//
9. System Software /'
a) Operating ~.stem Software Revision Level(s):
b) Applicatjc)r1 Software Revision Level(s):
./
c) Reyi$ion Completed by:
/'
,/
....
r f
60
(name)
(firm)
10: Comments: /
0"""-
/,
.r-- d' ..t r r r :- ( j/ -;,; -:'(" ( --
'.....~.----_......-
(signed) for Central Station or Alarm Service Company (title) (date)
Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA Standard(s):
/ (( '"?C(-: I')
System deviations from the referenced NFPA standard(s) are:
{\C,il k _. ,.,/
7
.:.,'<~.-,- / ,( 7k (L/ .. "3':J) -( y-
--" i-' ,-
(~jgned) f~r Cent~tation or Alarm Service Company (title) (date)
Up~n ~ory\ple~ the system(s):$at~~factory test(s) witnessed (if required by Authority Having JUri,sdiction):
. y / .' i '., ',' ii" r 1"" ' }' " ."") . t"'"
VI, I, \ ,i /'. \ , ,. . I l _ 1 ' (. J Ii . ' . .,' I; , .
~igned) 'Repr~sen~tive of the Authority H~ying Jurisdiction (title) (date)
I.
\;
Reprinted with permission from NFPA 72, 1996 Copyrighted@ by National Fire Protection Association, Quincy,
MA 02269. This reprinted material is not the complete and official position of the NFPA on the referenced
subject which is represented only by the standard in its entirety.
dini
Fin ElauiJmwnl Ca., Inc.
www.nardinifire.com
FIRE ALARM
INSPECTION AND TESTING FORM
DATE: ~, . ~)S(:~
TIME IN:
SERVICE ORGANIZATION
NAME ~,rHJt Ctne r::(~.);.l; ('II
ADDRESS: U/"':: r ~ H..r:'..":V J\ >:-' \..J ,~~..;. f'...! H '''-....".-, ~i()
, - t .' ,
REPRESENTATIVE: Al#'<- ~)~l-l~D)
LICENSE NO.:
TELEPHONE: (tr:.;\. 411'5 -C.1.f)?\
MONITORIN~ ENTITY
CONTACT: C. ,< l i ! (L'-V"""
TELEPHONE: ..~ CL,) 9:C-U. 1&./_:
MONITORING ACCOUNT REF. NO.: Ie i 0 '(~ i
TYPE TRANSMISSION
o McCulloh
o Multiplex
'-LlDigital
o Reverse Priority
o RF
o Other (specify)
PANEL MANUFACTURER:S '(-
\/
CIRCUIT STYLES: I
NO. OF CIRCUITS: (
SOFTWARE REV.:
LAST DATE SYSTEM AND ANY SERVICE PERFORMED: /L.h_ \) S(
LAST DATE THAT ANY SOFTWARE OR CONFIGURATION WAS REVISED:
ALARM INITATING DEVICES AND CIRCUIT INFORMATION
CIRCUIT STYLE
PROPERTY NAME (USER)
NAME: ~.Q,It\\I \,,~,\ f ~~\; .,S;>'",. \ lIt\\.
ADDRESS:\.....\ \':u:::: (.M1'^-i;:;(.P~\!;~
OWNER CONTACT:
TELEPHONE:
APPROVING AGENCY
__ ,"'. _, ,P"
CONTACT: 'y I v'l It
TELEPHONE:
'--, .r
~,:'-i :J
SERVICE
o Weekly
o Monthly
o Quarterly
o Semi-Annually
L:YAnnually
o Other (specify)
MODEL NO.: e)?C~/"!
QTY OF
-~
L
MANUAL STATIONS
ION DETECTORS
PHOTO DETECTORS
DUCT DETECTORS
HEAT DETECTORS
WATERFLOW SWITCHES
SUPERVISORY SWITCHES
OTHER: (SPECIFY)
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION
CIRCUIT STYLE
..........
\J
f
'f
I
QTY OF
BELLS
HORNS / .s 1'/(iJ.:..
CHIMES
STROBES
SPEAKERS
OTHER: (SPECIFY)
..,
NO. OF ALARM NOTIFICATION APPLIANCE CIRCUITS: ,-.,
ARE CIRCUITS SUPERVISED? n ,fES 0 NO
'\'
\
'/
<'-~?
" '
'I
~"'405 County Road E W
'St. Paul, MN 55126
Phone: (651) 483-6631
Fax: (651) 483-6945
o 303 20th Street North
Fargo. ND 58102
Phone: (701) 235-4224
Fax: (701) 235-5089
OUT:
t"'i\'\-',C.-f ~')L\~:,?
\'(~ ,t\'i~.cr:-..,u r"II--'."
, "~ .
t l'":'i...\...I_
FIRE MARSHAL
NARDINI FIRE' EQUIPMENT CO., INC.
QTY OF
SUPERVISORY SIGNAL INITIATING DEVICES AND CIRCUIT jbIFORMATION
/'
CIRCUIT STYLE //
"
BUILDING TEMP ,///
SITE WATER TEM.W'
SITE WATEf.3A.-fVEL
FIRE .~lJI'V1P POWER
JIR€ PUMP RUNNING
// FIRE PUMP AUTO POSITION
/
FIRE PUMP OR PUMP CONTROLLER TROUBLE
GENERATOR IN AUTO POSITION
GENERATOR OR CONTROLLER TROUBLE
SWITCH TRANSFER
GENERATOR ENGINE RUNNING
OTHER: (SPECIFY)
",~",,,
/"
/
.,-,..f"
./
SIGNALING LINE CIRCUITS
Quantity and style (See NFPA 72, Table 3-6) of signaling line circuits connected to system:
\i
Quantity <~_ Style(s) i
SYSTEM POWER SUPPLIES
a. Primary (Main): Nominal Voltage i { (; '\.i~1(
Overcurrent Protection: Type \:;.(2(.\ \?:C
Location (Panel Number): L i .Ie.. (f il [(' ;
Disconnecting Means Location:
Secondary (Standby):
-Z Storage Battery: Amp-Hr Rating i? v OC. '-7.7 ,., ;<:; I'; <.
Calculated capacity to operate system, in hours: '7/ 24
Engine-driven generator dedicated to fire alarm system:
Location of fuel storage:
TYPE BATTERY
o Dry Cell
D Nickel Cadmium
ZSealed Lead-Acid
//
. D Lead-Acid
o Other (specify)
c. Emergency or standby system used as a backup to primary power supply, instead of using a
secondary power supply:
Emergency system described in NFPA 70, Article 700
Legally required standby described in NFPA 70, Article 701
Optional standby system described in NFPA 70, Article 702, which also meets the
performance requirements of Article 700 or 701
,Amps
, Amps --Z ()
(D/Y' -r~ I
b.
60
,.
"-'.
FIRE MARSHAL
, NARDINI FIR~QtJIPMENT CO., INC.
PRIOR TO ANY TESTING
..
NOTIFICATIONS ARE MADE: YES NO WHO TIME
MONITORING ENTITY [f 0
BUILDING OCCUPANTS [~V 0
BUILDING MANAGEMENT [). 0
OTHER (SPECIFY) 0 0
;).; AHJ (NOTIFIED) OF ANY IMPAIRMENTS 0 0
SYSTEM TESTS AND INSPECTIONS
TYPE: VISUAL FUNCTIONAL COMMENTS
CONTROL PANEL [} OC
INTERFACE EQUIPMENT 0 &'
LAMPS/LEOS 0 p:'
FUSES 0 ~
PRIMARY POWER SUPPLY 0
TROUBLE SIGNALS 0 f?
DISCONNECT SWITCHES 0 r:t'
GROUND FAULT MONITORING 0 ~
SECONDARY POWER
TYPE: VISUAL FUNCTIONAL COMMENTS
BATTERY CONDITION t3,/ )...1'1; (A)
f
LOAD VOLTAGE I}'
DISCHARGE TEST ~
CHARGER TEST
SPECIFIC GRAVITY dt
TRANSIENT SUPPRESSORS 0 ;
REMOTE ANNUNCIATORS 0 0
NOTIFICATION APPLIANCES
AUDIBLE 0 c:v
VISIBLE ILf "rr
SPEAKERS 0 0 i'r
VOICE CLARITY 0
INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS
DEVICE
LOC. & SIN TYPE
?~JD
w\--
rS
+)/ \J
VISUAL
CHECK
tJ
o
o
o
o
o
FUNCTIONAL
TEST
~'
[ly-----
~~-
~
FACTORY
SETTING
MEAS.
SETTING
PASS FAIL
4Q--' 0
!9-- 0
6 0
0--- 0
o 0
o 0
o
o
COMMENTS:
FIRE MARSHAL
~. NARDINI FIRE1:QUIPMENT CO., INC.
...
VISUAL FUNCTIONAL COMMENTS
EMERGE7qCY COMMUNICATIONS
EQUIPMENT
,< PHONE SETS 0 0
PHONE JACKS 0 0
OFF-HOOK INDICATOR 0 0
AMPLlFIER(S) 0 0
""- TONE GENERATOR(S) 0 0
.< CALL IN SIGNAL 0 0
SYSTEM PERFORMANCE 0 0
GROUND FAULT MONITORING 0 M
DEVICE SIMULATED
VISUAL OPERATION OPERATION
INTERFACE EQUIPMENT
(SPECIFY) 0 0 0
(SPECIFY) 0 0 0 ',.,
(SPECIFY) 0 0 0
SPECIAL HAZARD SYSTEMS
(SPECIFY) 0 0 0
(SPECIFY) 0 0 0
(SPECIFY) 0 0 0
SPECIAL PROCEDURES:
COMMENTS:
ON/OFF PREMISES MONITORING:
ALARM SIGNAL .
ALARM RESTORAL
TROUBLE SIGNAL
TROUBLE RESTORAL
SUPERVISORY SIGNAL
SUPERVISORY RESTORAL
NOTIFICATIONS THAT TESTING
IS COMPLETE: YES NO
BUILDING MANAGEMENT ~ 0
MONITORING AGENCY ~ 0
BUILDING OCCUPANTS 0 0
OTHER (SPECIFY) 0 0
THE FOLLOWING DID NOT OPERATE CORRECTLY: ~~')L /::5/ t-,"'-V)
YES
0-
tr
'tZJ
-g
tl
NO
{]
o
o
o
o
o
TIME
COMMENTS
WHO
TIME
/l.t4....
jt SF ok"
""
SYSTEM RESTORED TO NORMAL OPERATION: DATE:; , ? l(""" ",2<..( ~:;' TIME
THIS TESTING WAS PER;~.RMED IN ~ORDA~CE WITH APPLICABLE NFPA STANDARDS.
NAME OF INSPECTORr-, \~<~"Y"~'l -....':>t: tll\..)-<..:c,n
DATE:~S ~.., .t:., CY<: l/ TIME:
~. /,; )
. SIGNATURE: '-'.'-...L j;/f: l
--f--fjAMEPF OWNER OR REPRES~tJfATIVE:
DATE: TIME:
SIGNATURE:
FIRE MARSHAL
n-wALPRESSURE
(FI.OWING)
INlET (PSI)"-Oliri::ET(PSI) INLET (PSI) I OUTLET (PSI) I A.DW (GPM)
L.,~IUD: r . . . '''' Ie........ be IlI8dul not... ChIn 200 pel (13.6..) far _Iloura 0/' 50 psi (3.4..)
aboweatatic..-nin 8XClI8Sllf 150 pel (10.2 bInI) far_ houra. DiIerwIIIIIGy-pipe vaIwt ".,. , ,. ....belBll
open ~ lest 10 " , , 1 ,," , "I ;. AI l ., 'I . IIId piping I8IIaIglt Ih8II be IfOIlp8d.
I OPERATION 0 PNEUMATIC 0 B..ECTAIC 0 HVDIWJUC
I PIPING SUPERVISED 0 YES 0 NO I DETECTING MEDIA SUPERVISED
I DOES VALVE OPERATE FROM 1ltE MAHUAL 1'RIP ANDt'OR REMOTE
CONTROlsrATIONS
IS THERE AN ACCESSIBlE FACIUTY IN EACH QRCUIT IF NO. EXPLAIN
FOR leol.nG
MAKE MODEL
DYES ONO
~ EACH CIRCUIT OPERATE
SUPERVtSlON LOSSALARU
YES I NO
DYES DNO
DYES DNO
MAXIMUM TIME TO
OPERATE RB.EASE
MIN. SEC.
FlOW RATE
TEST
oe&..n... nON flNEUUA11C: EslIbII&h40pel(2.7b1rs)*~Illd~dRlp.whidlSlllllI1Dl ".". 1.1flpel(0.1b1n1)
, t:::::':- T_..-....... at 1IOfllIIII...... iIMIl and 81r..-. and _* pr-. dRlp. whidllh8ll
e --..."'fl pel (0.1 bl!rs}in24lloun"
9-tr-t. -~ AU.PlPJNGHVDROSTAT1CAlLYTESTEDAT 200PSl FOR. -.kHRS. IFNO.srATEREASON
J~ ~ DRYPIPINGPNEUMAnCAllYTESTED 0 YES GJ NO NII'\
"SfZC//~ EOUIPMENTOPERATES PROPERlY IXl YES 0 NO
00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDmVESAND ""..........-JE CHEMICALS,
I. J~ SODIUM SILICATE OR DERlVATiV'ESOF SODIUM SILICATE. .C'" "~. OROTHeFU:OAAOSIVE CHEMICALS
l"t WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKs?
~YES DNa
DRMI 'IREADCNG OF GAGE lOCATEO ~ WATER I ~.JAL\onc.-JRE WITH VALVE IN TEST
TEST SUPPlY TEsr CONNECTlON: _ '1.0 PSI CONt.............OPENWlDE .AL. PSI
UNDEROROlIND UAIN$ ANQ lEAD IN CONNECTIONS TO SYSTEM RISeRS FLUSHED BEFORE
CONNECTION MADE TO SPRH<LER PIPING.
\.....,..,..... BY COPY OF THE U FORU NO. 858
flUSHED BY INSTAU.ER OF UNDER-
GROUND SPRINKlER PCPING
ICol:>>l~
LOCATION
& FLOOR
I
I
OC I lING
DOES EACH CIACUfT
OPERATE VALVE RELEASE
I YESl NO
srATIC PRESSURE
MAKE &
MODEl
IF " _ ",.' =, -, DRIVEN FASTENERS ARE USED IN
CONCRETE. HAS .~.:r ....:sENTATIVE SAMPlE
. ,TEStlNGBEEN SAlfSfiJ.GTORIL-Y COMPLETED?
~YES
~YES
DYEs
ONO
ONO
DNO
OTHER
BLANK .eo.....rG NUMBeR USED
GASKETS 0
WElDEDPCPlNG
WELDING
CUTOUTS
(DISCS)
LOCATIONS
r:!tl YES 0 NO
IF YES. ..
00 YOU CERTIFY AS THE SPRINKlER CONTRACTOR THAT WElDING
PROCEDURes COMPlY WITH THE REOUIReMENTS OF AT lEAST
AWS 010.9. LEVElAR-3?
00 YOU '-CnI'.FY JHAI THE WEUJING WAS PERFORMED BY WELDt:AS
OUAUAED IN COMPlIANCE WITH THE REOUIREMENTS OF AT lEAST
AWS 010.9. LEVELAR-3?
00 YOU -.cnliFYTHAT WEl.OlNG WAS CAAAIED OUT IN COMPlIANCE
WITH A DOCUMENTED OUAUTY CONTROl PROCEDURE TO INSURE
THAT ALl DISCS ARE RETRIEVED. THAT OPENINGS IN PCPlNGARE
SMOOTH. THAT SlAG AND OTHER WElDING ~JEARE REMOVED.
AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED?
DO YOU CEffhFy THAT YOU HAVE ACONfROL FEATUEa: TO
ENSURE THAT ALl CUTOUTS (DISCS) ARE nc, mclfED?
HYDRAUlIC NAMEPLATE PROVIDED IF NO. EXPLAIN
NAJAE~TE ~ YES 0 NO
DATE LEFT IN SERVICE WITH ALl CONTROL VALVES OPEN:
REMARKS
NAME OF S."", "'...ER CCINTRACTOR
:t~ nC:?r-l"~ I () tJA...L RP.~ Dk. r-. 7't:"'l: n ~i\J
5leNATURES /) II /J I ____ ,'_":"olowmIEIBB'tBY
~~H
n
FoR.f:-~ltbN
~T~T~' ~. ~~1?fJ
'.-
EXPlAIN
IF NO. EXPLAIN
NUMBER REMoVED
rJt YES 0 NO
btJ YES 0 NO
9d- YES 0 NO
~YESDNO
~.~
tr:/o,
II]) r~S-
. '....--...-----.- .
tl-I~ /r~qr-~
COMMERCIAL FINAL INSPECTION CHECKLIST
ELECTRICAL:
~pproVal of electrical inspection that items are safe.
lill<E SUPPRESSION/CONIKOL: _/
1. Hydrostatic Test . f(f"c...-/ ldtA'l- 1Z4-
2. Sprinkler Flow final
3. Monitored
4. Report on Existing System Inspection
5. Fire Alarm Test
6. Smoke and Fire Dampers Operation
7. Emergency Lighting
8. Smoke/Heat Detectors
9. HV AC Duct Detectors
HV AC:
V J
'(70~~~
PLUMBING:
';Y(
HANDICAP:
~L~~ TOR:
<~T{lTCHEN .
STRUCTURE:
1. Ventilation Operational )
2. Electrical connections ~ VA-l ~../)
3. Gas Line Tests f'rJ'-P ~
4. Final Inspection '
5. Balancing Report
~.~~~
1. Walk Through
2. Partitions
o ~teria Tesfs~
1. Signage
2. Lavs
3. Entrance
1 State.Elpv~tor Inspl('l'tjrm
~. O~<:'}2:::-'".JReFlt elf Hem.I.
1, Walk Through
.Ia. Special Inspections of Structural Framework with Final
Report
(] Labeled Fire Doors # C?~~ ~ ~~
(9? Glass, Doors, Hardware
~ Sidewalk /
(9Firestopping ~ v
.
..
-1-
c" \: ,';',,':'
EXITS:
Open and Unobstructed
PARKING LOT/CURBS: /
Handicap Signs / ( / s: ~
H}lIldicap Access _ ~~ (/'0 j.::o !ft,.. '9~~
~i1t Control or Final Grade Inspection from Engineering Dept.
vliNGINEERING DEPARTMENT SIGN OFF T'. c...o. A/"~ :J,t7'~
PLANNING DEPARTMENT SIGN OFF r ,,'-.0. ~~41{)5"fJ)tt
TEMPORARY CERu~lCATE OF OCCUPANCY
PERMANENT CERTIFICATE OF OCCUPANCY
..
-2-
Planning Final Inspection Checklist
Address: 1 4-( Z-o Cot.K~e}rermit #: ~ ~ 8" q
I
Inspector: ~ - Date: ~ .5
/ Review Pink plan review sheet in building permit file L. .~ c, .
{jl Sign permit required - ~
~nspect finish exterior material, match with approved plan
elevations - /V6>O r,^% t+ Q~
o Parking lot - s-rfl..l pC;-
~~~ .p.f'~~~
@Site layout (Trash enclosure, HV ACunlts, etc.)
p.@Landscaping/irrigation as per approved plan
.-t.v
~~rees: Those that were to be saved, are they still there?
t? I LI\,J~I\W ~t:>. f'll ~
1"".V" 'flandscaping is incompl~obtain an irrevocable Letter of
Credit (LOC) of 125% o~~roved bid.
C1
~utdoor storage: Note if site stores anything, if so bring back
Co- to Planning Department
QIerfifirafe of ~rtupanr1!
CITY OF PRIOR LAKE
~eparfmenf nf ~uilbing Jfnsprrfinn
o Final Permitted jtf Conditional C.O. Expire, iZ" ~J
This Certificate issued pursuant to. the requirements of Section 110 of the 0 Residential / 0 International
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:
COMMERCIAL 04-0869
Use Classification Bldg. Permit No.
Occupancy Type
B
Type Construction
v
Zoning District
Cl
Legal Description
LOT 2. BLOCK 1. JAMES 1ST
lill.BE.R 'T'
~ _ jK1ilding Official
Date: ~JY/ b., .......
, ,
Site Address 14120 COMMERCE AVENUE
K A WITT CONSTRUCTION, P.O. BOX 86, NEW PRAGUE 56071
n~ CityPlanner
TANF KAN<::TFR
Owner of Building
Contractor's Name & Address
Date:
s~)le
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<llerfifirafe of @rrupaur\!
CITY OF PRIOR LAKE
~~p&rf1tt~nf of Ifiluilb:ing Jf nsp~tfion
o Final Permitted rj('Conditional C.O. Expires ? ~ A s-
r' ( /'
This Certificate issued pursuant to the requirements ()f Section 110 of the [] Residential / 0 International
Building Code certifying that at the time of issuance tlzis structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
COMMERCIAL 04-0869
Use Classification Bldg. Permit No.
Occupancy Type
B
Type Construction
v
Zoning District
Cl
Legal Description
LOT 2, BLOCK 1. JAMES 1ST
Owner of Building
Site Address
14120 COMMERCE AVENUE
Contractor's Name & Address K A WITT CONST}DCTION, P.O. BOX 86, NEW PRAGUE 56071
RORERT n HnTc.HT~4 _ Cily Planner .1ANF. KAN<::TF.R
/' / B~ldyg:Official
~ / r/" t5. 5- Dale:
Date:
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CLEAN WATER TESTING, LLC
1880 Prospect Court
Appleton, WI 14814
Telephone (820) 733.7690
OWNER'S NAME: DRINKING FOUNTAINICITY WATER
LOCATION:
cus'rOMER
RE PORT
DRINKING FOUNTAIN/CITY WATER
,
LAB NUMBER: 248708
DATE OF COLLECTION:
SAMPLING FOR:
417/2005
o ArnJal r.,sl
o New Wel
o Pump Wor1I: .
@ Real Estate
@ Colifonn Bactc'ria
o Colfonn Picku:l
o Arsenic
o ArsenIc PiCkup
o Previous Unsaf3
o Taste or Odor
o Fecal Colform
o Nitrate N03-N
o Other Tests:
o Other [t..-...:.w...
LABORATORY ANALYSIS FOR:
o Copper
o Copper PIck1Jp
UNIQUE WEL~ NUMBER:
BACTERIA. SAFE
Baoteriologically SAFE to drink. No Coliform baatera were found in th s sample. Enzyrratic substrate method.
NOTE: Bacteriologically "Safe" does not necessari y mean chemically "Safe." If you are concerned about other
contaminants, further testing will be necessary.
SamDle Over 30 Hours Old.
This sample Is over 30 hours old and may be Invali:. if you are ~oncer1ed you may wish to retest.
o Fluoride
o Lead
o Lead Pickup
Thank you for letting us be of service to you. If you ruve any questions, please, call our la:>oratory or office.
Sincerely,
~~.
Michael Hanten, Laboratory Director
Wisconsin State Certified Laboratory No: MW-00291
Wisoonsin DNR Sefe DrinkinQ Water Laboratory No. 445126660
illinois State Certlned Laboratory No. 17-55-291
WISCONSIN STATE CERTIFIED L~BORATORY
Page Numb~r 1
MAY -:<5-2004 13:45 LUMA SALES SHAKOPEE P.02
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1--20Ft ';OFt + .15Ft , ~F!
Professional Office Building
Site Lighting
Prior Lake, Minnesota
Scale: 1/32" = 1 '-0"
SJ2S10A
.-.Luma Sales Associates
~!gbting and Controls
5200 12c~ AV.DQ. ...C
Bkakop.., K1aa..oc. 5537'
- TJrLt 19521 U5-'500
~~I '521 "5-15'5
Contaet PerIOD: Tim MaJ_aldlRLS
TOTAL P. 02
HfR~lf HR~H, p.f.
Srroh ----
f ~ ~ I ~ f f R I ~ ~
I ~IRUCIURAl C~N~UlIINb "
Mr. Mike Gleason
City of Prior lake
Building Inspections Department
16200 Eagle Creek Avenue South East
Prior lake, MN 55372
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January 15, 2005
Re: Roof Design for Prior lake Professional Building
Dear Mr. Gleason:
As the Structural Engineer of Record for the new Prior lake Professional building
currently under construction at 14120 Commerce Avenue, I wish to confirm that
the roof joists were properly designed to safely support all required snow loads,
in addition to the dead load of roofing materials, insulation, suspended ceilings,
sprinkler piping, lights, wiring and mechanical ductwork.
Sincerely,
~h EAgineering
Berni;{tro
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~ : PROfESSIONAL: ~
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Environmental Services
July 12, 2004
Bob Hutchins
Building Official
City of Prior Lake
16200 Eagle Creek Ave.
Prior Lake, MN 55372-1787
Dear Mr. Hutchins:
The Metropolitan Council Environmental Services Division has determined SAC for the
Prior Lake Professional Building to be located at 14120 Commerce Ave. within the City
of Prior Lake.
This project should be charged 4 SAC Units, as determined below.
SAC Units
Charges:
Fixture Units
55 fu. @ 17 fu/SAC Unit
Office
970 sq. ft. @ 2400 sq. ft./SAC Unit
3.24
0.40
Total Charge: 3.64 or 4
If you have any questions, call me at 651-602-1113.
s~~_ 8. ~
Jodi L. Edwards
Staff Specialist
Municipal Services Section
DI
. ~
JLE: (200)
040712SC
,
~.
()
cc: S: Selby, MCES
Charles Novak, CNA
www.metrocouncil.org Metro Info Line 602-1888
230 East Fifth Street . St. Paul, Minnesota 55101-1626 . (651) 602-1005 . Fax 602.1138 . TTY 291-0904
An Equal Opportunity Employer
March 15, 2005
KA Witt Construction
Attention: Jason Witt
1530 280th Street
New Prague, MN 56071 .
RE: Prior Lake Professional Building / Dr. Hines and Dr. Puffer Site
Dear Jason:
As we discussed in our phone conversation today, the following elements must
take place in order to meet the requirements of the Planning Department:
· A bid for the installation of all landscaping/irrigation as was approved
during the Site Plan approval.
· A Letter Of Credit for landscaping/irrigation (125% of approved bid).
· An inspection of the exterior materials, parking, site layout, etc. (we will
proceed with).
· It should also be noted that any exterior sign age will need an approved
sign permit.
Once we have received the bid, we will review it and contact you with the amount
for the Letter Of Credit that will be required.
If you have any questions, please contact me directly at 952-447-9813.
~cereIY,
~~.~
Danette Moore
Planning Coordinator
Enclosure
cc: Bob Hutchins, Building Official
ORe Members
h:Uetters\hlnes and puffer flnallletter.doc
www.cityofpriorlake.com
_<_~~ 0......... '" .~._.-._,.,.- ~,~,-
Phone 952.447.4230 / F-' -
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
April 26, 2005
Dr. Wayne Hines
14120 Commerce Avenue
Prior Lake, MN 55372
RE: Landscaping and Berming for Office Building at 14120 Commerce Avenue
Dear Dr. Hines:
Thank you for returning my telephone call today. As I mentioned to you, we recently
discovered there is a covenant on the property at 14120 Commerce Avenue. This
covenant requires a berm with landscaping and a fence along the west property
boundary. I am attaching a copy of the covenant for your information.
I was happy to hear you were already aware of the need for a berm and the
landscaping. It sounds like you intend to include this berm when you do your
landscaping. Please let your contractor know the City Engineering Department will be
happy to work with him on the plans for this berm.
Thank you for your attention to this matter. If you have questions, please contact me
directly at 952-447-9812.
Sincerely, v_ _'
~Q./~
C ~~~_~ansier, AICP
Planning Director
Enclosure
cc: vFr8nk Boyles, City Manager
Steve Albrecht, City Engineer
1:\04 files\04 site plan\hines & puffer\berm.doc
www.cityofpriorlake.com
Page 1
Phone 952.447.4230 / Fax 952.447.4245
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
August 4, 2004
Mr. Charles Novak
4344 Upper 135th Street West
Rosemount, Minnesota 55068
RE: Professional Office Building
14120 Commerce Ave.
Prior Lake, Minnesota 55372-1714
Dear Mr. Novak,
Following are the results of the plan review for the Professional Office Building. Our
review was based on the Minnesota State Building Code (MSBC) which adopted with
amendments the 2000 International Building Code (IBe) with handicap regulations of the
Minnesota Accessibility Code Chapter 1341. Also requirements of the 2003 Minnesota
State Fire Code (MSFC), which adopted with amendments the 2000 Fire Code (FC).
Co~1I'\ ...1.
SI"IV#~~2.
f.ltEtJ ~(. -3.
I
peJ=b - 4.
Submit signed sprinkler plans. May be submitted at a later date.
Submit one additional full set of plans. c..~ ~~ejCs;.o-u8:) ~s -~ S':
.J- (-(i~,v eo....-(p':....~Tr;. CIviL . M,vc.
Submit specifications on Roof ladder and access. . - /
Submit signed Special Structural Testing and Inspections Schedule. mc 1704.13.
~ Dimension handrails at top and bottom of stairs. Correct the rise of the stairs to
work with the total rise of the stair flight. mc 1009.11.5
CeAlh'l ..-(f/' Submit plumbing plans to the rvfinnesota Department of Health for review.
C1> Provide drain tile/system for basement perimeter. mc 1807.4 t:A-'~ Olk.. P~s?
V'- Sheet M-4, note lSD-3.03: Submit specifications for HV AC system in regards to
15 CFM of required fresh air per Occupant.
c..r:P4I/!1' Y'Separate tenant finish permits are required for the lease space tenants shown on
the plans.
C.,A1I11. 1 6: Separate permits for plumbing, mechanical, sprinkler, alarm, electrical, sewer and
water.
www.cityofpriorlake.com
Phone 952A.17.4230 / Fax 952.447.4245
"-',.,.. -'-~''''''''''--''~''''''''--~'-~'-'~'~-_U~^'______'__'__M__''~._...._._...._~""_U
11. Screen rooftop equipment per City Code 1107.2202 (1) with one of the following
methods:
a. A parapet wall
b. A fence or screen, the height of which extends at least 1 foot above the top
building.
c. The roof equipment shall be painted to match the roof facing material of
building.
The building plans must be reviewed by the Cities Developmental Review Committee
(DRC), which consists of representatives of Planning, Engineering, Parks, Finance, and
Building Departments. The DRC must approve the site plans before a building permit can
be issued. Questions please call me at 952-447-9856.
Respectfully Submitted,
Bernie Feidt
Building Inspector
cc. Jason Witt, K.A. Witt Construction, Inc.
Memorandum
DATE: May 5, 2004
TO: Jane Kansier, Planner
RE:
Site plan review for Hines Puffer building
eN-UJP
01'.1 1! "4
-(11""1.~ WLV~ON
s~&
FROM:
Robert D. Hutchins, Building Official
Following are the results of the preliminary Site plan review for the Hines Puffer
building. Our review was based on the 2003 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 2003 Minnesota State Fire Code (MSFC) which adopted with
amendments the 2000 International Fire Code (IFC).
Site Comments:
~omPlete a Building Code analysis. mc Chapter 5. Include the following:
a. Occupancy Classification.
b. Type of Construction.
c. Location on Property. ~
d. Allowable Floor Area. \. fil:::;',;~/~
(~~ Lp~Jf
e. Height and Number of stories. LL)~~df" ~~ ~7
- ~~ ~. ~
((l Exiti~ ~r' r:;-l~ i" ~.l
~~. Structural engineer to design retaining walls over 4'-0" in height.' (*V/lV~
~. If provided, indicate means of la~n irrigation. May use separate service and metering
for billing purposes. \J'LA, ~ ~ '
@Provide a Post Indicator Valve (PIV) on sprinkler supply line into buildings. Locate a
minimum distance away the height of the building. l.N-- ~ l vfj I
~ 5. Provide fire lanes for fire apparatus response. Signage to read:" No Parking Fire Lane
by order of Fire Department". Indicate on Site plan. Locate by Fire Department
Siamese connection. IFC 503.3. /t.Jt" ~ +~) ~ ~ ~~{f~~.~
J. Fire department Siamese connection and enunciator panels to be located by front
entrance. One fire hydrant must be located within 150 feet of the fire department
Siamese connection.
J:\BUILDING\LETRMEMO\HinesPuffer\DRC HinesPuffer site.DOC
r :5~
@lSht. 4 of 5: HDCP parking stall requirement is 1::50 slope on pavement, drawing ':!;~~
indicates 1: :30 slope. MSBC 1341.0428 Subpart 6. r?~ _. 2 0.,. ... q: "....t..tU ~ - ~
~Provide detail and location ofHDCP curb ramp. MSBC 1341.0430. - 1'1 fl. cc.f7.Z ~I'f, ~
t7' ~....)..~ ~..~ 'Zb' ~ 't,,"leU' p~ ~ ~. ~ ~ ~.. ~
~provide location and detail of front entrand: door maneuvering clearances and level ): s. 3'1.,
landing. It appears that the level landing at Suite C front entrance door may be in _A)C
conflict with the location of the HDCP curb ramp. MSBC 1341. 0442. Subpart 6
Jv'vG. Indicate the width of sidewalk clearances from the front of the building pilasters to
the edge of the top of curb. 36" minimum requirement. MSBC 1341.0420.
The following are building plan comments:
/vi 1. Submit signed architectural and structural plans before building permit. Submit
signed HV AC, plumbing, fire/smoke alarm, emergency lighting/exit signs and
sprinkler plans. May be submitted at a later date.
~/ @. Submit Energy Envelope Calculations. MN Energy Code 7670.0100
~ ;G. Submit a soils report. Br ~J ~ r~ r 2-C;oo~
If- i.iI0 An S.A.C. determination must be completed by the Metropolitan Control
(~nvironmental Services. Contact Jody Edwards at 651.602.1113.
~+ ~Submit the Structural Engineers requirements for Special Inspections IBC 1704.1. I '
~.t:<.~~~ ~+tn~.~.r~~.
~~provide detail of lawn sprinkler service stub valve and backflow pr~vention details. '
~ @Provide HDCP signage details.
~ ~ Ventilation for the building must meet IBC chapter 12. Provide 15 CFM ef
ventilation per occupant.
Jr<-- v19. Provide fire extinguishers minimum 2AlOBC rated, within 75 feet travel distance of
all areas. IFC 906.
20. Provide approved key box to be installed in accessible location per IFC Section 506.
Obtain order forms from the Building Inspection Department.
This is a preliminary review only on conceptual plans. Other code items will be addressed
when the preliminary plans are submitted. The building plans must be reviewed by the
Cities Developmental Review Committee (DRC) which consists of representatives of
Planning, Engineering, Parks, Finance, and Building Departments. The DRC must
approve the site plans before a building permit can be issued.
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CITY OF PRIOR LAKE
BUILDING INSPECTION DEPARTMENT
COMMERCIAL & MULTI-UNIT ~'l~AN REYIE'J CIlliCKLIST
ProjeetName: t-~1~ -~ blip (e4-
Job Address: ~M.M~ ~c:..
· Provide access roadway for fire apparatus in accordance with Section 902 of the Uniform
Fire Code (UFC). This includes the following:
(v( All-weather driving surface. ,
( ) ?iffeet of unobstructed width. I 5"
( ? 13 feet 6 inches of vertical clearance.
(~ Adequate turning radius capable of supporting fire apparatus.
J]l.e radius is:
~eet for a sprinklered building. .
A. _ 60 feet for a non-sprinklered building.
~ (lr Dead end access in excess of 150 feet long shall be provided with a
turnaround.
~Access roadways shall be extended to within 150 feet of all portions of the exterior walls of
the first story of any building per UFC Section 902. Where access cannot be provided, an
approved fire protection system shall be provided.
/An adequate and approved access for Fire Department equipment must be provided during
construction. If on site pavement is not provided when construction begins an approved
roadway surface must be installed with approved dimensions which will support fire vehicles
and equipment.
. Non-sprinklered Bu' : Fire hydrants are required per UFC Section 903. All portions of
the exterior of non-~l-'~ uklered building must be within 150 feet of an approved fire
hydrant.
. Sprinklered Building: Buildings with a sprinkler system requir~~ne hydrant wi 'n 150
feet of the fire department connection and a hydrant(s) within 30<f~et of all portion
~or. The fire department connection shall be located on the front of the building. The
C PIV jlUst be located a minimum of the height ofthe building away.
~
FlRBPLAN
,~ ~ h<.':'L'.....'~_ .'. '. ~ .-.' ..~... .-",' .;.:>- " ~.~. '- ~'._.- ~,_.'. ......- . . ~." '.
~I hydrants shall be accessible to the fire department apparatus by roadways meeting above
requirements. Hydrants shall be located within 5 feet of the curb so that apparatus can pull
long side for the connection,/, t': 1"\ r ,n ~.... ....h .-wJ
tr-i tv-< ~ -;\# (jY r v. v- NI'-'lY'" \ .....
Provi e fire lanes for fire apparatus response. Signage should read: "No Parking Fire Lane
by ord of the Fire Department." Location and number to be determined.
rovide numbers of addresses in such a way to be plainly visible from the street or road
fronting the property per UFC Section 901~llmhen; shall contrast with their background.
./Townhouse projects must have directional signs designating the numbering sequence of units
7 for each individual roadway.
e Provide approved key box to be installed in accessible location per UFC Section 902. This is
required when access to a structure is unduly difficult or where immediate access is necessary
for life safety or fire fighting purposes. Key boxes shall contain keys to gain necessary
access. Key boxes also recommended for building where entry may be delayed and to
prevent damage as result of forcible entry. Obtain order forms from the Building Inspection
Department.
~/f
b'~
Fire extinguishers are required for this project per UFC Section 1002. Extinguishers are
required to be a minimum 2AIOBC rated and located within 75 feet travel distance of all
areas. This distance decreases for more hazardous occupancies. Location and size to be
determined.
. Submit plans for required fire protection equipment to the Building Inspection Department
per UFC 1001. Requirements based on the 1997 Uniform Fire and Building code. Submit
two copies of detailed shop drawings before installation to receive approval and permit.
(One copy will be returned.) The contractor should submit installation permit application
with plans.
(-0 Automatic fire extinguishing systems (sprinklers).
(. ) Sprinkler systems of more than 20 heads must be monitored by an
approved 24-hour station.
() Fire hydrant systems.
() Wet standpipe systems.
() Fire alann systems.
() Cooking appliance and vent extinguishing systems.
() Fire pumps.
() Other extinguishing systems.
. Fire alann plans must be submitted by State licensed electrician or low voltage contractor.
.
FlREPLAN
~...,..""_"".._.,~....,:,....,,,...w.,,- .,"-'.".:.....
" ,
. Protection systems installed that are not required are subject to approval by the Fire
Department and must meet code requirements.
. Submit 8-1/2 x 11 inch site plan for development of emergency response plan.
. Submit plans for underground storage tank installation to the State Fire Marshal for approval.
Upon approval, submit approved plans to the Building Inspection Department which will
conduct the inspection and testing.
. Provide information or see instructions as indicated below for special hazards. Please supply
information, plans, specifications, as applicable.
() Places df.assembly, UFC Article 25.
() Cellulose nitrate storage in excess of25 lbs., UFC Article 27.
() Storage and handling of combustible fibers, UFC Article 28.
() Garages, repair, UFC Article 29.
() Dry cleaning operation, UFC Articles 36 and 79.
() Application of flammable finishes including dip tanks, ~}lJ."Y booths, etc., UFC
Article 45.
( ) Welding and cutting operations, UFC Article 49.
() Refrigeration equipment using other than air or water and more than 20 lbs.,
UFC Article 63. '
() Compresses gases, flammable, UFC Article 74.
() Compresses gases, non-flammable, UFC article 74.
() Cryogenic fluids, UFC Article 75.
() Explosives or blasting agents (storage or use), UFC Article 77.
() Flammable and combustible liquids, UFC Article 79.
() Hazardous chemicals, storing and handling of hazardous materials including
toxic chemicals, poisonous gas, hazardous waste as defined by DOT and EP
regulations, UFC Article 80.
() High piled combustible storage, UFC Article 81.
~- This includes requirements for fire sprinklers designed for proposed commodity
and storage arrangement, building access, access doors, smoke and heat removal,
curtain boards, and hose connections.
() Liquefied petroleum gases, UFC Article 82.
"
FlREPLAN
MelDorandum
TO: Mike Gleason
DATE: October 13, 2005
FROM: Jeff Matzke, Planner
RE: Hines building final inspection, Lot 2 Block 1 James 1st Add.
After reviewing the site I noticed that some issues still need to be completed before final
planning approval can be given. The following is a list of these issues:
1. 11 deciduous trees are placed on rear of lot. The approved landscape plan
indicates 22 Austrian Pine trees of 6 feet in height would be placed along the rear
of the lot. Proper number and species must be completed according to the
approved landscape plans.
2. Remove and replace two dead Newport Dwarf Viburnum at the Southwest and
Southeast corner of the building
Other landscaping, building, and fencing requirements have been met. Once these
issues are addressed final planning approval can be given. If you have any questions
please call me at 952-447-9814.
Jeff Matzke
1:\04 files\04 site plan\hines & puffer\final inspection memo.doc
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
October 13, 2005
Jason Witt
1530 280th Street West
New Prague, Minnesota 56071
Re: Building Permit #04-0869
Dear Jason,
I received a memorandum from our Planning Department with tree issues for final
inspection on the Hines Building. I am sending you copies of his inspection. If you have
any questions please contact Jeff Matzke, Planner.
If there are any additional questions feel free to call me between the hours of8:00 - 8:45
a.m. at 952.447.9854.
Sicnerely,
Mike Gleason
Building Inspector
MG/lsa
enclosure
,40
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.424S
CHARLES NOVAK - ARCHITECT
C NA 4344 UPPER 135TH .,1 ftCC 1 WEST
......~.... 55068
To:
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
From:
I Charles Novak
Attn: Bernie Feidt
Project:
Commerce Ave Professional Bldg
14120 Commerce Avenue
Prior Lake, Minnesota
Date: August 17, 2004
Number of Enclosures: 1
Phone: (651) 423-2254
Fax: (651) 423-2255
cnarch~8r~.~~ ,1 \ n r;r,~ 1
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Remarks:
Dear Mr. Feidt;
I have your letter of August 13, 2004 requesting some additional information above that requested in your letter of August 4. I ad-
dressed the items in your letter of August 4 in my transmittal of August 7 and will address the items of your August 13 letter be-
low. I am also enclosing with this transmittal three full sets of construction documents signed by myself and the engineering con-
sultants. Listed below are the sheets of the construction documents that have been revised:
I. Sheet L-I has been revised to indicate the location of the post indicator valve and to change the handicap ramp location to
within the sidewalk area.
2. Sheet A-I has been revised to indicate the change in the public toilet rooms required to add a urinal to the men's toilet
3. Sheet A-4.1 has been revised to indicate the change in the public toilet rooms to add a urinal to the men's toilet.
4. Sheet A-4.2 has been revised to add information on stairway and handrails
5. Sheet M-3.1 has been revised to indicate the change in the public toilet rooms required to add a urinal to the men's toilet
6. Sheet M-3.2 has been revised to add drain tile and a sewage ejection pump for the basement floor drains.
7. Sheet M-4 has been revised to add specifications on the urinal and sewage ejection pump and basin
8. Sheet E-3.1 has been revised to indicate the change in the public toilet rooms required to add a urinal to the men's toilet
9. Sheet E-3.2 has been revised to add power and wiring for the sewage ejection pump.
Per your item #2 of the August 13 letter three additional sets are being provided
Per your item #3 a clearer drawing of the shipsladder is being sent to you under separate cover by the fabricator
Per your item #4 the Special Testing and Inspections Schedule is included with this packet
Per your item # II the rooftop equipment will be painted the same color as the roof fascia. The roof parapet also does extend a
minimum of 12" above the roof at all locations
Per your comments on the site the post indicator valve has been shown on sheet L-I and located just inside the property line in the
buffer area, The painting of the curb for fire lanes is indicated on sheet L-I and the civil engineer has revised his grading drawings
to provide the proper minimum slope at the handicap parking areas.
If you have any questions after reviewing this transmittal and the enclosed revised sets of construction documents please give me a
call. I have given the General Cvu;"actor the revised documents as well so that all these revisions and additions will be added to the
contract.
smC;ti /J
Charles Novak
Architect
Cc: Witt Construction
Dee 17 04 10:15a
Charles Novak
651-423-2255
p. 1
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CHARLES NOVAK - ARCHITECT
C N A 4344 UPPER 135TH STREET WEST
ROSEMOUNT. MN 55068
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To:
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
From:
1 Charles Novak
Attn: Bernie Feidt
Proiect:
Commerce Ave Professional Bldg
14120 Commerce Avenue
Prior Lake, Minnesota
Date: December 17, 2004
Number of Enclosures: 2
Phone: (651) 423-2254
Fax: (651) 423-2255
cnarch@frontiernetnet
Remarks:
Dear Mr. Feidt;
Enclosed with this fax are partial copies of two of the wall sections on sheet A-6 of the construction documents for the above pro-
ject indicating two changes that are proposed to the typical wall construction. Both of the changes are typical to the construction of ,
all the exterior walls for the project. \
The first change concerns the use of portland cement stucco for the finish material on the exterior of the building in lieu of the E.r.
F.S. that was originally specified. The stucco will have an acrylic finish on the exposed surface and a standard portland cement
scratch coat with all material being installed over a double asphalt/felt paper vapor barrier. The second change concerns the addi-
tion ofa foam insulation at the roof wall intersection to insulate the space created by the bearing of the steel bar joists and steel
decking. The foam will also be extended down the depth of the bearing channel at the top of the wall to insure that a continuous
layer of insulation extends to the start of the roof insulation. I have indicated the type and manufacture of the foam insulation on
: the revised wall sections enclosed
. You had indicated to the contractor a request for a ES report for the exterior EJ.F.S. finish but this should not be needed with the
change to the portland cement stucco finish. If you have any questions or are in need of any further information please feel free to
i contact me at any time.
smUl /II
Charles Novak
Architect
Cc: Witt Construction
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C \JA CHARLES NOVAK - ARCHITECT
4344 UPPER 135TH STREET WEST
ROSEMOUNT, MN 55068
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Attn: Bernie Feidt
From:
I Charles Novak
Project:
Commerce Ave Professional Bldg
14120 Commerce Avenue
Prior Lake, Minnesota
Date: August 6. 2004
Number of Enclosures: 1
Phone: (651) 423-2254
Fax: (651) 423-2255
cnarch@frontiernet.net
To:
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
Remarks:
Dear Mr. Feidt;
Per our telephone conversation of a few days ago I am providing you with an additional set of construction documents as re-
quested. I have made revisions to a number of sheets on the drawings to indicate changes requested by the owners and additional
information that you have requested. The changes are as follows;
~ ~:D I have indicated changes on sheet L-1 to show a location for a post indicator valve at the curb entrance for the water main and
a have shown the detail change for the handicap access ramp to locate the ramp within the front sidewalk system.
'5 ~ I have indicated additional dimensions on the thru section of the stairway to show the dimensions of the handrail extensions at
I the top and bottom of the stairway. I have also indicated the exact riser dimension of 6-7/8" for each riser.
. I have made revisions on all the applicable drawings to indicate that the men's and women's public toilet rooms have been re-
versed, slight dimensional changes have been made and a urinal has been added to the men's toilet room.
I am enclosing with this information a copy of a shop drawing for the ships ladder that has been provided by the General Con-
tractor.
I have contacted the structural engineer to provide a filled out copy of the special inspections schedule that you faxed to me
and will fax this over to you as soon as he has filled it out.
I contacted my mechanical engineer concerning a fresh air per occupant calculation and he indicated to me that we well exceed
the requirements of 15 cfm per occupant as we can provide as much as 1000 cfm of fresh air from each of the eight rooftop
units depending on how the dampers are set for a total of 8000 cfm of fresh air for the building. As the total occupant count for
the building, based on 100 s.f. per occupant for a B occupancy would only call for 76 occupants you can see that we well ex-
. ceed the cfm requirement.
6'- We have also indicated the addition of drain tile completely around the perimeter of the basement at the footing line and con-
nected thig drain tile into the sump pit to allow for discharge above grade.
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If you have any questions after reviewing this transmittal and the enclosed revised set of construction documents please give me a
call. I have given the General Contractor the revised documents as well so that all these revisions and additions will be added to the
contract.
SiDzd AI
Charles Novak
Architect
Cc: Witt Construction
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4344 Upper 135th Street West-Rosemount, MN 55068
June 28, 2004
City of Prior Lake
16200 Eagle Creek Avenue S.E.
Prior Lake, Minnesota 55372
Re: Commercial Office Building plan review
14120 Commerce Avenue
Prior Lake, Minnesota
Attn: Jane Kansier, Planning Coordinator
Dear Ms. Kansier;
Enclosed please find final copies of the construction documents for the above project. The documents have
been revised to address the items that were presented at the review by the Development Review Committee. I
will address these items with comments in this letter. Would you please see that the building official gets copies
of these documents for the building permit review.
Review report by Cynthia Kirchoff dated May 5, 2004
1. The landscape plan has been revised per your comments and requests in items #1 and #2 of your report.
2. A copy of the photometric site plan showing compliance with the illumination requirements is included with
this submittal as requested in item #3 of your report.
Review report by Jane Kansier
1. The grading of the parking lot has been revised to decrease the steepness in the areas of concern while still
allowing for the surface drainage of the site.
2. An enlarged detail of the handicap parking with the access ramp has been included on sheet L-1 to show
compliance with the requirements of the handicap code.
3. Top and bottom elevations of the retaining walls have been indicated on the civil drawings.
4. The grading plan by the civil engineer shows how surface water drains from all areas of the site and has
been revised to provide better drainage from the areas of concern.
5. The angle of parking indicated on the site parking plan, sheet L-1 is in place to allow us to meet the parking
requirements for the building and allow for the spaces needed to serve the tenants. As this is a small park-
ing lot we do not feel that the difference in angle for the two rows in the east parking lot will cause any prob-
lem with the patrons using the parking lot.
6. All property lines surrounding the site are shown on both the architectural and civil site plans.
7. An enlarged partial plan and details have been provided to show the handicap access ramp. The sidewalk is
not being cut as the ramp is being constructed in front of the sidewalk.
8. The Prior Lake project number has been indicated on the front sheet of the construction documents and the
documents are presented as a bound set.
9. Hydraulic calculations have been provided by the civil engineer and will be presented with the final docu-
ments.
10. Curb radii are indicated on the civil drawings.
11. We have not increased the width of the north exit driveway from the site as it is only a one way driveway out
of the front parking lot. To increase the width would require loss of at least one parking space. I hope that
you can review this driveway again to see the width is adequate for exit only from the site.
phone: 1,(;51-423-2254 ,
e-mail: enareh@frontiemet.net
~
fax: 1'(;51-42~2255
,
Report from Robert D. Hutchins, Building Official, dated May 6, 2004
1. The site and building data area on sheet L-1 of the construction documents indicates the information requested in
item #1 of your report.
2. The retaining walls indicated are less than 4'-0" in height and will be designed by the manufacturer of the precast
concrete units used to construct the wall.
3. The specification requires that a lawn irrigation system be provided for the site. The design of the system will be the
responsibility of the company installing the system. Connection for the system has been provided in the Utility Room.
4. A location for the post indicator valve has been shown on the front of the building on the site plan, sheet L-1. The re-
sponsibility for the design of the sprinkler system is by the installer with the requirement that the design documents
be presented to the city for review and approval prior to the installation of the system.
5. A fire lane has been indicated to extend around the building with the edge of the curb painted for no parking and
sign age indicated to show that it is a fire lane.
6. The fire department Siamese connection is shown on sheet L-1 adjacent to the front entrance of the building. There
is a fire hydrant located within 150 feet of the Siamese connection. '
7. Site grading has been revised to provide for a slope of 1 :50 at the handicap parking stalls. I~'
8. An enlarged plan of the handicap parking stalls and the access ramp has been included on sheet L-1. ~ ~ptye.~'
9. The enlarged plan of the handicap parking area on sheet L-1 indicates that there is adequate maneuvering area9br
the handicap adjacent to the entrance to suite 'C'.
10. In all cases there is a sidewalk with greater than 36" from the front of the decorative piers at the front of the building
to the edge of the sidewalk.
11. Signed documents are included with this submittal for the building permit by the architect, structural engineer, civil
engineer, mechanical engineer and electrical engineer. Sprinkler plans will be submitted at a later date by the sprin-
kler company.
12. Energy Envelope calculations will be provided to your office during the building permit review for your approval.
13. A soils report has not been provided. The general contractor is required to have the foot excavations inspected by a
soils engineer to determine that there is adequate soil bearing for the building prior to the installation of the footings.
This system is better that the soils report as all areas of the footing trenches are inspected and not just the few areas
where the borings are taken. .
14. A plumbing plan for the building has been sent to Jodi Edwards at Metropolitan Con\rol Environmental Services for
determination of the SAC.. A copy of the determination will be sent to your office. "f ~~. tr' ~~~.
15. A copy of the requirements for special inspections per IBC 1704.1 will be sent to your office by the structural engi-
neer prior to start of construction.
16. The plumbing construction documents indicate the lawn sprinkler service stub valve and backflow prevention.
17. Requirements for handicap signage has been indicated in the architectural specifications.
18. Ventilation for the building to meet the requirements of the building code has been designed as a part of the overall
HVAC system for the building and construction documents for this system are provided with this submittal.
19. Fire extinguishers have been provided throughout the building with the required rating and within 75 feet of all areas
of the building.
20. A key box has been called for to be provided adjacent to an entrance at the front of the building with the information
for the purchase of this box indicated in the construction documents.
The complete sets of the construction documents are being presented for review. If there are any questions or concerns
as to the revisions made to the previously presented documents in order to address the items indicated above please
contact me so that we can discuss the items of concern and allow for the receipt of the building permit as soon as possi-
ble. Thank you for your cooperation.
Siwi!
Charles Novak
Architect
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BRAUN'"
INTERTEC
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1_ In"rtwc CerportItlon
6950 W.,I 146th S,_', SUU" 131
Appl. van..", Minn....ta 55124.8520
612.431 ~493 Fo~; 431.3084
fngi/lHn and $<:;""1;,,, SeMttg
III. Suil, ..nli N"furol En.,;ron","'l"
November 2, 1998
Project BODX-98-362
Mr. Lyle BaJcken
Ba1cken Homes
4376 Hickory HUls Trail
Prior Lake, MN 55372
Dear Mr. Bakken:
Re:
Engineering Evaluation for Proposed L' .1 II Clinic/Office Building, 14070 Commerce
Avenue, Prior Lake, Minnesota
As authorized by Mr. Mike Falk with Weston Real Estate Corporation on October 29, 1998,
we have perfonned test pit observations to evaluate the suitability of the on-site soils for
support of the proposed structure.
Annable IDfomaatioD
No soil borings were performed fot this project.
We uDderstmcl the structure will encompul approximately 6,900 square feet and will be a
oae-story, slab-on-Ilade dental clinic/office building. We understand that the foundations
haye been designed for a net allowable soil bearing pressure of 1,500 pounds per square foot
(PSf) .
At the tUz of this letter we did not have a finished floor elevation.
Test Pit Observations
Test pit l,.:'..-. .~0D5 were conducted by a project engineer on October 29, 1998. When we
arrived at the site, the P....r-..ed building comers had been staked by others, 'I11ree test pits
were .performed with a backhoe. The test pits were perfonned around the perimeter of the
proposed building and were taken to depths rangin& from 6 1/2 to 8 1/2 feet below existing
grade. .
The test pits geueral1y encountered 2 to 4 feet of topsoil underlain by Andy lean clay. lean
clay and silty sa. The granular solls were judged to be in a medium ctense condition and
the clayey soils were judged to be in a medium to rather stiff condition. Soil cwsification
were cSefermined in accordance with the American Society for Testing and Materials (ASTM>
procedures by examiGing the soils removed by the backhoe.
Groundwater wu not observed in any of the teat pits. . Seasonal and annual fluctuations of the
lfouDdwater level should be anticipated.
OpIDIoas
Basec1 on the results of the test pits, we rec........._..4 rcmovina the surficial topsoil and placing
engitJeered fill, if necessary, to establish building pes. If fill i~ required to obtain bottom
:>31~3.LNI ~ E0:91 86, 20 "ON
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Project BODX.98.362
November 2, 1998
Page 2
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of footing elevation, the excavation must be oversized I foot horizontally for each foot of fill
required to obtain bottom of footing elevadon (I: 1 oversb:lng). We recommend the fill be
debris-free. n~n-organie mineral soils with moisture content. within 4 percen. points of the
optimum moisture content. The engineered fill should be compacted to a minimum of 95
percent of standard Proctor (ASTM D 698) density.
Based on the test pits and performance of the above.described procedures, it is
our opinion the lIoils should be suitable for support of a typi spread footl g foundation
system sized for a net allowable soU bearing pressure of uti ,500 psf.
General
I
It should be noted that standard penetration test borings with power equipment were not '-3ken
to evaluate the solis at depth, However, the soUs which were visible and the retults of LtIe
hand auger probes indicate that the risk of detrimental settl...".~t due to poor soils at depth is
very small and 'Ne, thus, recommend that it be assumed by the owner, The cos: for tAking
soli borinls to better define that risk does not appear warranted,
Services perforrru=d by the geotechnical engineers for this project have been conducted with
that level of care and skill ordinarily exercised by _..u.:'... of the profession currently
practicing in this area. No warranty, expressed or implied, is made.
Thank you for using Braun Intertec. If you have questions concemina the content of this
letter, or jf we can be of further assistance, please call Orec Bialon at (612) 431-4493.
.
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Sincerely,
ProfesdoDal Cerdlicatlon:
I hereby certify that this plan, specification or '.r." was
prepared by me or under my direct supervision and that I
am a duly Registered Profes51onal Engineer under the iaws
of the State of Minnesota.
.
..
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Project engineer
Registration Number: 24017
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John 1', Carlson, PE
Senior Engineer
.
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Mr, Mike Palk, Weston Real Estate Corporation
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August 13,2004
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Af\.tO
RE:
Professional Office Building
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Mr. Charles Novak
4344 Upper 135th Street West
Rosemount, MN 55068
Dear Mr. Novak,
This letter is a request for additional information for a plan review letter and a site review
letter addressed to you dated August 4, 2004. The comments are numbered as in the
previous letters. The review of the Professional Office Building is based on the 2003
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 2003 Minnesota State Fire
Code (MSFC) which adopted with amendments the 2000 International Fire Code (IFC).
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Building plan comments:
~. Submit one additional full set of plans. (Please submit two full sets of building plans
signed and dated.)
~. Submit specifications on roof ladder and access. (The fax that was sent is illegible.)
~~
@SUbmit signed Special Structural Testing and Inspections Schedule. IBC 1704.13.
f;,) O.ll. 'to (~ ~ 10 ~
o Provide Drain tile system for basemenlt perimeter. IBC 1807.4. (Indicate invert of
drain tile on cross section or letter.)
, Screen roof top equipment per City Code 1107.2202 (1) with one of the following
methods:
a. A parapet wall
b. A fence or screen, the height of which extends at least 1 foot above the top
of the building.
c. The roof equipment shall be painted to match the roof facing material of
the building.
Site plan comments:
" Provide a Post Indicator Valve (PIV) on sprinkler supply line into buildings. Locate a
minimum distance away the height of the building.
....~ -@Provide fire lanes for fire apparatus response. Signage to read:" No Parking Fire Lane
~. by order of Fire Department". Indicate on Site plan. Locate by Fire Department
Siamese connection. IFC 503.3.
~. Sht. 4 of 5: HDCP parking stall requirement is 1::50 slope on pavement, drawing
indicates 1::30 slope. MSBC 1341.0428 Subpart 6.
The site plan must be reviewed by the Cities Develvpmental Review Committee (DRC)
which consists of representatives of Planning, Engineering, Parks, Finance, and Building
Departments. The Engineering Department also has comments that have not been
addressed. Please contact Larry Poppler, assistant city engineer. The DRC must approve
the site plans and the building comments must be addressed before a building permit can
be issued. Call me at 952-447-9856 ifthere are questions.
Sincerely,
Bernie Feidt
Building Inspector
cc. Jason Witt, K.A. Witt Construction, Inc.
Nova-Praha LLC c/o Dr. Wayne Hines
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
August 13, 2004
Mr. Charles Novak
4344 Upper 13Sth Street West
Rosemount, MN 55068
RE: Professional Office Building
Dear Mr. Novak,
This letter is a request for additional information for a plan review letter and a site review
letter addressed to you dated August 4, 2004. The comments are numbered as in the
previous letters. The review of the Professional Office Building is based on the 2003
Minnesota State Building Code (MSBC) which adopted with amendments the 2000
International Building Code (mC) with handicap regulations of the Minnesota
Accessibility Code Chapter 1341. Also requirements of the 2003 Minnesota State Fire
Code (MSFC) which adopted with amendments the 2000 International Fire Code (IFC).
Building plan comments:
~. Submit one additional full set of plans. (Please submit two full sets of building plans
signed and dated.) .
a.enI1~ 3. Submit specifications on roofladder and access. (The fax that was sent is illegible.)
(!."AtJle.4r~ @ Submit signed Special Structural Testing and Inspections Schedule. mc 1704.13.
~., ~0. ProftdfD~!.tfie system for basement perimeter. mc 1807.4. (Indicate invert of
p tAIt- ' drain tile on cross section or letter.)
1d: Screen roof top equipment per City Code 1107.2202 (1) with one of the following
methods:
a. A parapet wall
b. A fence or screen, the height of which extends at least 1 foot above the top
of the building.
c. The roof equipment shall be painted to match the roof facing material of
the building.
..
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
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S1e plan comments:
.J. Provide a Post Indicator Valve (PIV) on sprinkler supply line into buildings. Locate a
minimum distance away the height of the building.
Q)Provide fire lanes for fire apparatus response. Signage to read:" No Parking Fire Lane
by order of Fire Department". Indicate on Site plan. Locate by Fire Department
Siamese connection. IFC 503.3.
~Sht. 4 of 5: HDCP parking stall requirement is I: :50 slope on pavement, drawing
indicates 1 ::30 slope. MSBC 1341.0428 Subpart 6.
The site plan must be reviewed by the Cities Developmental Review Committee (DRC)
which consists of representatives of Planning, Engineering, Parks, Finance, and Building
Departments. The Engineering Department also has comments that have not been
addressed. Please contact Larry Poppler, assistant city engineer. The DRC must approve
the site plans and the building comments must be addressed before a building permit can
be issued. Call me at 952-447-9856 if there are questions.
~~~
Bernie Feidt
Building Inspector
cc. Jason Witt, KA. Witt Construction, Inc.
Nova-Praha LLC c/o Dr. Wayne Hines
"
.
BRAUN
INTERTEC
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
Braun Intertec Corporation
21021 Heron Way
Suite 10 1
lakeville, MN 55044
Report Date: 10/18/04
Phone: 952.469.3644
Fax: 952.469.8599
Web: braunintertec.com
Client: Mr. Jason Witt
K.A. Witt Construction, Inc.
P.O. Box 86
New Prague, 1vfN 56071
Project No.:
Project Desc:
A V-04-06526
Professional Office Building
14120 Commerce Avenue
Prior Lake, 1vfN
Field Test Conditions and Results
Set Number: 1 Mix Design:
Date Cast: 9/20/2004 Supplier:
Time Cast: 2:15 P.M. Specified Air (%):
Date Received: 9/21/2004 Specified Strength (psi):
Measured Slump (in.): (ASTM C 143) 2 1/2 Ticket Number:
Measured Air (%): (ASTM C 231) Not given Cylinders per Set:
CUU\'lete Temp COF): (ASTM C 1064) 75 Cylinders Cast By:
Air Temp (OF): 75
Liquid Added On Site: None
Sample Location: Spread footings, NE comer
3000
Aggregate Industries
Not Req.
3000
746
4
DRK/Braun
Compression Test Results
Field Lab Test Cylinder Cylinder
Cure Cure Age Max Load Diameter Area Strength Fracture Capping Remarks
Sample No. (days) (days) (days) (pounds) (inches) (in.2) (psi) Type Method* Code(s)
lA 1 6 7 81380 6.00 28.27 2880 D N B
IB 1 27 28 133400 6.00 28.27 4720 D N E
lC 1 27 28 126700 6.00 28.27 4480 D N E
1D 1 34 35H
* Capping Method: N=ASTM C 1231, Unbonded Caps S=ASTM C 617, Sulfur Caps.
Break Remarks: B The 7 day result projects that the specified strength will likely be met at 28 days according to a typical
strength age relationship.
E The average 28 day test result meets or exceeds the specified strength.
General Remarks:
Copies to: Building Codes Dept.; City of Prior Lake
TYPES OF FRACTURE
XAA/
ABC 0 e-
Cone Cone & Cone & Shear Columnar
/J Split Shear
/ill-.;t-L,;f
.........
Robert R. Weber
Senior Engineering Asst.
., Providing engineering and environmental solutions since 1
.
BRAUN
INTERTEC
Braun Interlec Corporation
21021 Heron Way
Suite 101
lakeville, MN 55044
Phone: 952.469.3644
Fax 952.469.8599
Web: braunintertec.com
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
Report Date: 9/28/04
Client:
Mr. Jason Witt
K.A. Witt Construction, Inc.
P.O. Box 86
New Prague, MN 56071
Project No.:
Project Desc:
A V -04-06526
Professional Office Building
14120 Commerce Avenue
Prior Lake, MN
Field Test Conditions and Results
Set Number: 1 Mix Design:
Date Cast: 9/20/2004 Supplier:
Time Cast: 2:15 P.M. Specified Air (%):
Date Received: 9/21/2004 Specified Strength (psi):
Measured Slump (in.): 2 1/2 Ticket Number:
MeasureJ Air (%): . Not given Cylinders per Set:
Concrete Temp (OF): 75 Cylinders Cast By:
Air Temp COF): 75
Liquid Added On Site: None
Sample Location: Spread footings, NE comer
3000
Aggregate Industries
Not Req.
3000
746
4
DRK/Braun
Compression Test Results
Field Lab Test Cylinder Cylinder
Cure Cure Age Max Load Diameter Area Strength Fracture Capping Remarks
Sample No. (days) (days) (days) (pounds) (inches) (in.2) (psi) Type Method* Code(s)
1A 1 6 7 81380 6.00 28.27 2880 D N B
1B 1 27 28
Ie 1 27 28
1D 1 34 35H
* Capping Method: N=ASTM C 1231, Unbonded Caps S=ASTM C 617, Sulfur Caps.
Break Remarks: B The 7 day result projects that the specified strength wil1likely be met at 28 days according to a typical
strength age relationship.
General Remarks:
Copies to: Building Codes Dept.; City of Prior Lake
TYPES OF FRACTURE
XA^/
ABC D E
Cone Cone & Cone & Shear Columnar
//'.) /~:t ! Sh;ar
/ /it1v1l L- cvi, _
Robert R. Weber
Senior Engineering Asst.
.. Providing engineering and environmental solutions since 1957
Dee 17 04 10:16a
,
Charles Novak
651-423-2255
p.2
-~ ~----_.-
SINGLE PLY MEMBRANE ROOF
[JV[~ T AP[R[]) [P~ INS:UL.
ON A 5/8" GYP. SHEATHING
THERMAL BARRIER
1-1/2" METAL DECKING!
VELDED TO BAR J[llSTS
SEE STRUCT. D"'GS 7
BARRIER _ AND ~x8 VOOD BLIJl;KING,...
~[J;;s;:Ru~ mN; BAND ~/. 0
PARAPET TO BE OF SIMILAR CONSTRUCTION I ..'
TO BEARING "'ALL BELD'" VITH A FACEBRICK:"" (\J
SOLDIER CIJURSr. nVF"R VAPOR BARRIER AND 5/8',
PL Y'WD SHEATHING- ON '3-5/8" STEEL STUDS. J-
'"
-" /'--.. "....",. ro ~
,
,
J'
4" OPEN "'EB STEEL
BAR JOIST I SEE THE
STRUCTURAL DRA"'INGS
FOR SIZE AND SPAC~G
--.... ~ --..
'-/ '"
ACRYUC STUCCO FINISH OVER DOUBLE VAPOR
BARRIER AND 8 'JI][JD BUlCKI
SUPPORT THE SOLDIER COURSE FACEBRICK
ACCENT BAND ON A CONT. 4'x4"xl/4' STEEL
AND ANCHORED TO THE "'ALL STRUCTURE
I~SPENDED ACOUSTICAL
LAY-IN CEILING
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"20SEMOVur, j.,(N. r2/J?/04
Dee 17 04 10:16a
Charles Novak
651-423-2255
p.3
SINGLE PLY MEMBRANE
BASE FLASHING EXTENDED
TO THE TOP OF 'WALL JPREFINISHED METAL CAP
OVER 5/8' PL YVD SHEAT'G FLASHING THE FULL VIDTH
ON 3-5/8' STEEL STUD OF THE ROOF' CAP, SLOPE
PARAPET \fALL r FOR DRAINAGE
~~~~ET~~~R~:~~:NI~S~~~ ~IC STUCCO FINISH OVER DOUBLE V~PO;\"
ON A 5/8' GYP, SHEATHING BARRIER AND SxS "'ODD BLaC\(IN~ ;.:::...JJ1O,
THERMAL BARRIER ~
1 ;' \U.LL-CONSTRUCTION AT THE SIGN B;ND ~ ,
1-1/2' METAL DECKING t PARAPET TO BE OF SIMILAR CONSTRUCTION "-
'WELDED TO BAR JOISTS TO BEARING 'WALL BELO'" 'WITH AN ACRYLIC \D
SEE STRUCT. DVGS STUCCO FINISH OVER DOUBLE VAPOR BARRIER ..1
. [)N 5/~ PL Y\(D. SHEATHING AND 3-5/8' STL STUDS. (Y)
"-..
(~-LB- -RIG~;' POL YURET A
FOAM BY FOAM ENTERPROSE
INC. CONTINUOUS AT THE
JOIST BEARING AREA
.-t.-;
~
24' OPEN VEB STEEL
BAR JOIST. sEE THE
STRUCTURAL DRAVINGS
FOR SIZE AND SPACING
./""'-..
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,
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,
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ACRYLIC STUCCO f"INlSH OVER DOUBLE. V OR
BARRIER AND 8x8 'WOO B KIN-
, LOAD AR G ~ I u.L STUDS @ 16' Ole,
MILCOR 6'-16 GA. STRUCTURAL STUD OR AN
APPROVED EQUAL \lITH 3 RO\lS OF HORIZ.
BRIDGING AT THE 1/4 POINTS. f"INISH 'WALL
'WITH 5/8' GYPSUM DRY" ALL OVER A POL Y
VAPOR BARRIER AT THE INSIDE FACE, FULL
: THICK FIBERGLASS BATT INSULATION BT'WN. 1
! THE STUDS AND SIB' PLY"D SHEATHING ON
~ THE OUTSIDE rACE COVERED VITH A DOUBLE .
\. \ VAPOR BARRIER AND AN ACRYIC STUCCO FINIS~
"---DOUBLE STEEL JOIST LINTEL. SEE THE ..I
STRUCTURAL DRA"INGS 0'
..
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"ODD/CLAD "INDO'W 'W-1 'WITH AN A"NING
UPPER SASH AND A FIXED BOTTOM SASH,
SEE SPECIf"ICA TIONS
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fO ~ E.M 0 U vr, M.}J 12/17/04
BRAUN
I NTE RTEC
Final Report for Special Inspection and
Construction Materials Testing Services for
K.A. Witt Construction
Professional Office Building
14120 Commerce Avenue
Prior Lake, Minnesota
.~.
Professional Certification:
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 Engineer under the laws of the
State of Minnesota.
"'
~QJJ~~
Gregory J. Bialon, PE
Associate Principal
Registration Number: 24017
Project A V-04-06526
January 24,2005
Braun Intertec Corporation
. Prodding engineering and emdronmental solutions since 195
BRAUN
INTERTEC
Braun Inlertec Carporation
21021 Heron Way
Suite 101
lokeville, MN 55044
Phone: 952469.3644
Fax: 952469.8599
Web: brounintertec.com
January 24, 2005
Project A V -04-06526
Mr. Jason Witt
K.A. Witt Construction
P.O. Box 86
New Prague, MN 56071
Dear Mr. Witt:
Re: Final Report for Special Inspection and Construction Materials Testing Services, Professional
Office Building, 14120 Commerce Avenue, Prior Lake, Minnesota
Introduction
This report summarizes the results of our special inspection and construction materials testing services
performed during construction ofthe Professional Office Building located at 14120 Commerce Avenue
in Prior Lake, Minnesota. Our work was performed in general accordance with our Authorization for
Services and General Conditions dated March 1,2003. The services provided included:
· Footing sub grade observations,
· Concrete reinforcement observations,
· Concrete testing,
· Masonry observations and testing, and
· Structural steel observations.
We have provided International Code Council (ICe) certified special inspectors, engineers, senior
engineering assistants, engineering assistants and engineering technicians to conduct the observations
and testing in general conformance with the International Building Code (IBe) Section 1701 and the
project specifications.
Special Inspections
Our observations and testing were completed in accordance with the guidelines of IBC Section 1701,
Special Inspections and the project's specifications. For each observation, a Special Inspection Daily
and/or Weekly Report was completed describing the work observed and the tests made. If the work
observed did not conform to the project drawings and specifications, the item was documented and the
contractor was informed of the needed rework on an area. If the discrepancy was not immediately
corrected, the site superintendent, project manager and structural engineer were notified. Corrected
discrepancies were noted on the special inspection reports.
Soil Observations and Testing
The purpose of the footing trench observations was to aid in evaluating the suitability of the soils
exposed in the excavation bottoms for building support.
.
· Providing engineering and environmental solutions since 1957
K.A. Witt Construction
Project A V-04-06526
January 24,2005
Page 2
Our footing subgrade soil observations were conducted on September 17 and September 20, 2004. The
sub grade soils for the perimeter footings and interior column pads were observed. The approximate
density or consistency of the poorly graded sand in the excavation bottoms were estimated by judging the
force required to advance scattered, shallow (about 1 to 3 feet deep) hand auger probes. Soil
classifications were determined in the field using American Society for Testing and Materials (ASTM)
procedures by examining the hand auger probe cuttings.
The soils exposed at bottom of footing elevation generally consisted of poorly graded sand with silt,
poorly graded sand and clayey sand which were estimated to be in a medium dense condition. The
exception was along the west perimeter footing where 2 to 3 feet of silty sand and clayey sand fill was
encountered below footing sub grade elevation. The soils were disturbed in the upper 1/2 to 1 foot.
These soils were removed and the underlying soils surface compacted.
Compaction
No compaction tests were taken on the wall backfill or utility trench backfill.
Concrete Reinforcement Observations
Observations were made of the concrete reinforcing for the interior column pads with transverse
reinforcing and exterior strip footings. The observations were performed by an ICC Certified Special
fuspector for Reinforced Concrete and included observing the reinforcing steel for proper size, spacing,
concrete cover, splice length and comparing them to certified structural drawings. For a detailed
description of the work observed see the attached Special fuspector Daily Reports.
Concrete Testing
Concrete test cylinders were cast by an engineering technician for the perimeter footings and interior
column pads. Braun futertec picked up the cylinders and returned them to our laboratory for compression
testing. One set of concrete test cylinders were cast on the normal weight concrete for evaluation of
compressive strength.
Review of the 28-day test results indicate the concrete represented by these cylinders has met or
exceeded the specified minimum 28-day cU1Uplessive strength. The concrete tested should be considered
acceptable based on the requirements of the plans and specifications. The results of the compressive
strength tests were previously forwarded and are attached to this report.
Masonry Construction Observations
Periodic observations of the masonry construction were conducted by an ICC Special fuspector. For a
detailed description of the specific areas observed, see the attached Special fuspector Daily reports.
K.A. Witt Construction
Project A V-04-06526
January 24, 2005
Page 3
Structural Steel Observations
The observations of the structural steel construction were performed by an ICC Certified Special
fuspector for structural steel or a Level II Technician qualified in accordance with the American Society
for Nondestructive Testing (ASNT), publication SNT - TC-lA.
The structural steel observations consisted of structural member size and location, visual weld
examinations and bolting observations, which were performed on a periodic, on-call basis. Daily
Observation Reports were submitted. For a detailed description of the work observed, see the attached
Structural Steel Special fuspection Daily Reports.
Summary
Based on the results of our excavation observations and hand auger probes, it is our opinion that the soils
encountered in the excavation bottoms are suitable for support of foundations designed for an maximum
net allowable bearing capacity of 2,500 pounds per square foot (pst).
Based on the results of our concrete reinforcing observations, the reinforcing observed was placed in
general accordance with the available plans and specifications.
Based on the results of our concrete tests, it appears the concrete tested for this proj ect has met the
minimum compressive strength requirements.
Based on the results of our periodic masonry construction observations of the masonry reinforcing,
masonry units and grouting, it is our opinion that the areas observed were found in general conformance
with the available plans and specifications.
Based on our observations, the structural steel construction observed was done in accordance with the
approved plans, specifications and applicable provisions of the futemational Building Code (IBe).
It is our opinion that at the time of our last observations there were no outstanding discrepancies.
General Remarks
It should be noted that standard penetration test borings with power equipment were not taken to evaluate
the soils at depth. However, the soils which were visible and the results of the hand auger probes indicate
that the risk of detrimental settlement due to poor soils at depth is very small and we, thus, recuuilllend that
it be assumed by the owner. The cost for taking soil borings to better define that risk does not appear
warranted.
No established national standards exist for excavation observations. We have used the methods and
procedures described in this report. Other firms may use different procedures to evaluate bottoms of
excavations.
K.A. Witt Construction
Project A V -04-06526
January 24,2005
Page 4
This test report contains only findings and results arrived at after employing the specific test procedures
and standard listed herein. It is not intended to constitute a recommendation, endorsement, or
certification of the proj ect or material tested.
Services performed by Braun Intertec for this project have been conducted with that level of care and
skill ordinarily exercised by members of the profession currently practicing in this area under similar
budget and time constraints. No warranty, expressed or implied, is made.
We appreciated this opportunity to provide services for you. If we can be of further assistance, please
call Jim Samuelson at 952.469.3644 or Greg Bialon at 952.995.2380.
Sincerely,
BRAUN INTERTEC CORPORATION
,J~
J mes M. Samuelson - / ..-v
Associate Principal
,
~ <Ji3~
Gregory J. Bialon, PE
Associate - Senior Engineer
Attachments:
Daily Reports, Footing #1, Rebar #1
CU>HpLessive Test of Concrete Cylinder Set 1
Special Inspector Daily Reports, Report MasonrylRebar #2
Structural Steel Daily Inspection Reports, SS 1
c: Building Codes Department; City of Prior Lake
Mr. Bernie Stroh; Stroh Engineering
jrns/ gjb :skg/ spk/04000652 6/rpt
BRAUNS~
INTERTEC
Special Inspector Daily Report
City of prIor L~k
Page
of 1-
Report Number:
Project Name:
Project Address:
Client:
Weather:
f6,cfhA$ 4- \
Pr~.J-c 55 I~C ( (Ja{,~
~ ~j 42.. C4-J 13
teA W';-H-
Date of This Report:
IS ""- Project .NO..: .
11. i~V Lc. k i-t-\ j.J
Client Project No.:
Temperature:
'1//7 /tx/
A VtJ4-D ~~2-C
Inspection Coverage: .:..4
o Masonry 0 Rebar Placement ~ Foundations
o Welding 0 Concrete Placement .0 Fireproofmg
o Bolting 0 Tendon Placement 0 Other
Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No Jr1
Description and location of work completed: ~ rJ ~ J L =" ~. S~, \J t:.- is fer.,.J ~ j
a or, \.., 5,,'13 1.1 b..tvJ} ;v, . .,.,L,4/. 'J (? 'd.~,4 j LoA...1 c 7 "-- /..." ''J J
t!,.;)IAJ,-{'-k1 ~ dc't<'Y ....(e.....c:/ '??c>:>, t.... Cl.rCi.J~J st:.....c{ ld s,-I" c;"'LJ fz)4,/7 jvt:.c:i<.1
, '1'1' J
<5c<~~l JLJrf~ej -h be. J- ;UeJ/i..Jwt -c../e...J-e. -h ck"!J-€. 4J;s~~G '-4 &.r-~I kc.",
Ii I )
t2j~ ~tJ s.....J-r 44-.. ~/..,.,j' vJ'Y..J -h f:,~ rrt v~4, ~/;i'I'e.-..f' S'k~'~5' ~tt:.J..J;1~,~~
( 7 v
'Cj;{"..t~, -+;Il .fc Z~:3 i 6-elow ~r.i\"""J qy~ ;'"" w<.>f- Pe./",il-.~... ~.j.tI"
'- J . J/J f I
b t:.fv~ 5kf S ,} ~.,ift.. (!pI k,,~~ i-t ~ ~'f: 0 11 ~_, C. ~""e. leA ,e.4v-"s,,< -eb ~.[f:s
t. II' ""- r' /.., ",,",J oJ -fw< low-. f p.,J r", +1.... -I? , '1" c f,,/, 'I.) (, I. ~ c- ~ ~/
be;; c.vJ 7D'J pier C ~ .J;1ie..\<!!ol (Afi-f S;I../.., 5'::'-e( V(.. S 8b5~~\/..eJ. I<-~~lf;~
i ,
Type of Inspection:
o Continuous
o Periodic
List tests performed:
.
Are there any discrepancies noted from this day's observations? Yes 0
Are there any outstanding discrepancies on this project? Yes 0
If yes, see attached Summary Sheet.
No 0
No 0
.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable W~Zf ~ShiP p~ovisW'ns of the UBC, except as noted above.
/1 A /.. / q/n/t>.1
Signed: ; ~ ~ IL;l(' (~ Date: 't
fo~yl- f{ tlLkb1r
Print Full Name:
LD. Number:
(White copy to Braun Intertec file. Blue copy to General Contractor.)
frmlspccinsp.4 l/25/95
BRAUN'M
INTERTEC
Report Number:
Project Name:
Project Address:
Client:
Weather:
Special Inspector Daily Report
City of Pr- ~ L-c:. k
~~ ~ ,j-.\..... 5 .Jr \ _ Date of This Report:
/ 1 It- j{ I
t"E>1/-c..s5~_~. i e....;,c.e ;)/d~ Project No.:
~ Ic;;-( l{L ~,J (S '.
K A t.vI,'..J..f-
Page
2- of
2-
A v'-:' 6 '-/ -0 ~5 2- f.c
Client Project No.:
Temperature:
Inspection Coverage:
o Masonry 0 Rebar Placement ~ Foundations
o Welding 0 Concrete Placement 0 Fireproofing
o Bolting D Tendon Placement 0 Other
Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No 0
Description and location of work completed~ ;" Sl,J c.. ~ A 0_... ~ .f!.a.''1'
tf.., (,Jf-J. tf-(Jf;!HJ ~ 5'aJk_J 5/1/.-., <;c_-' 4hj >,-,J:~ Co. ~{<~./...)*-
u",-Je-I' LJ/ \, 7 c.,.l..,"('f s~J ( AeI v,'S-<-J ([r.c:> ^- Urlt- ~ {~Vl'~~f-
DVv..~ if <;o.rJ~'1 e:i ,-I-."-1~" L toog <!t.1-,'"l< , .5:~ J/',?M- jC' fk
(.J ~ d k ii-J' ~J,,^~ j) -r).~c J\. '-1 ~ v:'l...; +t.'J .{}; it j\... -.(1 Ic.=-....- '71'vt'-" (L::: ../-,W .sc/ (,f
f)' \ /1.1 . ,
Ot,(fee;.; 5~'.J(.'L -+-W Le. Je5f'..,G-t. ~....le., rb7-cSS,-,T"-L..
f' \ l . L) .) f . ~ j
~e':::'r ;-""? .sud btJ~\/a fk--.s /fJP-.-k. Ph,.5/'/. //(1, j (.? ~) .e.", _ a,~, Gf
/ fbk-.s , No bo... lvtJ .i W~ .P'er-/-n ,~~J c:/- ~Pl- 4. , II?>..- V& S ~ '-!
I( . / " I
I 'Jek",c+/<v. lrw,~ ,r~MJ)..j <<AI Jeio>r ~~''n.; _, f~ /",.,',;..,
List tests performed: <St1-e ~,k....-. ~J'cve-r"r ~ {,sit- C-f(~u.r'.5 'jt'\;",.c'^-^cl .?~J
5l,<-tJ k c;.JSu",,~J ly -Ie r?.Vh~
Type of Inspection:
o Continuous
o Periodic
.
Are there any discrepancies noted from this day's observations? Yes 0
Are there any outstanding discrepancies on this project? Yes 0
If yes, see attached Summary Sheet.
No 0
.No 0
.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
aP'uPlica.b Ie wdlr . Zi.<19Sh'~. p. rovisions of the UBC, except as noted above..
/,1 I ff q /1"7 /(!.-!
Stoned. . .. l~ -::: (~ft......, '. . Date.
~~A+-;( We~
Print Full Name:
LD. Number:
(White copy to Braun Intertec file. Blue copy to General Contractor.)
frm\sp"cinsp.4 1/25/95
BRAUNSM
INTERTEC
Description:
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'.
Project No:
Date:
.u . '
I Y~D-Y" L~f~
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1117/D4
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BRAUNSM
INTERTEC
Special Inspector Daily Report
City of PnD7'l-f Ct, fcP
Page
of
Report Number:
Project Name:
Project Address:
Client:
Weather:
Qd~~'
<;;~\~ ~
i+wv (3 ~ a f20 l{ Z-
" v
Date of This Report: q-!ZJ:ri) Y
'Project No.: ' nvCYt- Ch52b
:zo~ C~
Client Project No.:
. Temperature:
Inspection Coverage:
o Masonry r:a... Rebar Placement 0 Foundations
o Welding D Concrete Placement D Fireproofing
o Bolting 0 Tendon Placement 0 Other
Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No 0
Description and location of work completed, ~ f'<.-I~ ~ 0;;" t, ~ ~~/!~
~~)~.I\ ~~Co(~ P~5 ~~c;C'~aA-~, .
,r 1_ L1 j "
~'-.) ~5dle(J[~ +;t(.o?t-t ff;> 5P-5l4Y1. ~ utA C~.PA'_~_ _ (~,.
v . -. C f
~l5 ~wJ'kl>€ ~.d-~ ~ -bv~ ~r
~n(T7P~~~~'Y';'-~ LJ 7"'LS'#J!>W~
Cb::.(~ ~r' ~Lw.~.,6--t-f~r~ VC{tPt ~ ~hi,.....~_
~~~ ':?z-~.(~t-~~~~ ~;~..~~~s/~
~~ ~+--b-~~, W~:J";;'
~Jl"-vI_ I~~~~~~~~
List tests performed Ck.,W.dD ~~~,A ___ o~ ~~~
'-Z:ll'/;( ~L'j q;;f-';;~9~j~ q~:5 ~/~
Type of Inspection:
o Continuous
Ml Periodic
.
Are there any discrepancies noted from this day's ohservations? Yes 0
Are there any outstanding discrepancies on this project? Yes D
If yes, see attached Summary Sheet.
No ~
No fi$" .
.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable ~a ip pro~f the USe. except as noted above.
<T' _ 2J), -A-t
Signed: " . Date: l - (
'N~me:~ ~ 1.D. Number: t51 ~
(While copy lO Braun Inrertecfile. Blue copy lO General Contractor.)
rnn\sp~cinsp.4 J /25/95
!BRAUN
IN"T"r-~--r
j'!cKlc,-
Braun Interlec Carporation
21 C21 heron Way
Suite 101
LCKeville, MN 550LlLl
Phone: 952.469.36LlLl
Fcx: 952.469.8599
VVeo: braunintertec.com
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39,6 x 12 Cylinder
Report Date: 10/18/04
Client: :Mr. Jason Witt
K.A. Witt Construction, Inc.
P.O. Box 86
New Prague, 11.N 56071
Project No.:
Project Desc:
A V-04-06526
Professional Office Building
14120 Commerce Avenue
Prio,r Lake, 11N
Field Test Conditions and Results
Set Number: 1 Mix Design:
Date Cast: 9/20/2004 Supplier:
Time Cast: 2:15 P.M. Specified Air (%):
Date Received: 9/21/2004 Specified Strength (psi):
Measured Slump (in.): (ASTM C 143) 2 1/2 Ticket Number:
Measured Air (%): (ASTM C 231) . Not given Cylinders per Set:
Concrete Temp (OF): (ASTM C 1064) 75 Cylinders Cast By:
Air Temp (OF): 75
Liquid Added On Site: None
Sanlple Location: Spread footings, NE corner
3000
Aggregate Industries
Not Req.
3000
746
4
DRK/Braun
Compression Test Results
Field Lab Test Cylinder Cylinder
Cure Cure Age Max Load Diameter Area Strength Fracture Capping Remarks
Sample No. (days) (days) (days) (pounds) (inches) (in.2) (psi) Type Method* Code(s) .
IA 1 6 7 813 80 6.00 28.27 2880 D N B
IB 1 27 28 133400 6.00 28.27 4720 D N E
IC 1 27 28 126700 6.00 28.27 4480 D N E
ID 1 34 35H
* Capping Method: N=ASTMC 1231, Unbanded Caps S=ASTMC 617, Sulfur Caps. .
Break Remarks: B The 7 day result projects that the specified strength will likely be met at 28 days according to a typical
strength age relationship.
E The average 28 day test result meets or exceeds the specified strength.
. General Remarks:
Copies to: Building Codes Dept.; City of Prior Lake
TYPES OF FRACTURE
X/\A/
ABC D ,E'
Cone Cone & Cone & Shear Columnar
/l Split She~r
!~!f/lJ j, ../ d'
. ,ri!f;f~ ..~,.f/
RobertR. Weber
Senior Engineering Asst.
,. Providing engineering and environmental solutions since 1957
BRAUN'M
INTERTEC
Special Inspector Daily Report
City of PntJ:7LLa-LCR.....
Page
l
of
(
Report Number:
Project Name:
Project Address:
Client:
Weather:
tt1ILY6MtU/ /U~ ~Zr'
Zdl~ i?eic7 B~ l!d ~
CD f2D t.t/2- ~ W-Wy i '5
50; C lacvL
(6 -1-6'1/
Date of This Report: !O~-L( -oy
Project No.: WC~ '-rl+;Lb
Client Project No.:
Temperature:
Inspection Coverage:
~ Masonry 0 Rebar Placement D Foundations
D Welding D Concrete Placement D Fireproofing
D Bolting D Tendon Placement D Other
Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No D
Description and location of work completed: f?e/~ /-0 s~'.{.e :3 +r:...e....> r;J-o ~
~~t1-Y~Je:v-P~ W- ~~.Li{sr (J~
I ' .
c,bqy\ ~rf ~S ~11t~l/L-(ff Q~f-v-:., 71-1 ~ j~ (Pr",1
'V IF / _
~~ ~~_. 0e..vkc~ ~ &:tvs r,!.O f!Yi!.... p l~cac;l ~ 5 Per
ct~~. r';.~~ ~hvi~ h 6et"d-cL-~~ ~ ~;t.;J
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~~ th;t~ ~/~j8()'7'k! ~_j~ a,~ rfe
List tests performed: _Ia? AI/!. A-J) q '7 ~ U1~1' !?e-t~~~ / A--1a- <;"-~P'Lc;....
~ /I...?- ..-./ f _ I'
~fJ 10 Ge p~ CLfj ~v ~"~ / .:mLe~_r
II - " fI '
Type of Inspection:
o Continuous
~ Periodic
.
Are there any discrepancies noted from this day's observations? Yes 0
Are there any outstanding discrepancies on this project? Yes 0
If yes, see attached Summary Sheet.
No ro
No ~
.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
apPlicable;p:orkma ~~ions of the ~BC, except as noted above. .
Signed: ~~ Date: 11)-'1-fJ '-1
Print Full ame: ~V"l..--:~./\. I.D. Number: /-12;5
(White copy to Braun Intenec file. Blue copy to General Contractor.)
fnn\'p~cimp.4 1/25195
JAN. 24. 2005 1: 30PM
8 RAUN I NTE RTEC
NO. 9164_P, 3
IRAUN1.
-
INTERTEC
Special J:rul" .:....Lor Daily Report
City of _ p", nl L~fu
Page
J
of /
Report Number:
Project Name:
Project Address:
Client:
W e.ather:
Type of Inspection;
o Continuous
~ Periodic:
S(~#t
{J,(J){ L5 ~ n ( I (){rtu iSl.{)1.,
/f..JI.2o CO'".....e/c(' Au~
KA ~':~.~ CO/lA/uti!" ~
('i'lvJy
Date of This Report: I CJ - J J ~"O Y
Project No_:
Client Project No.:
Temperature: ~ S:;j. ~
{Je<- ...... ~ ~ . I
AL '~''f' ~ 0.-
J.) Of,,,,,,' tlh!t/l.hi,,,",,
~ "\J
.3J tJ~llJ Lt o'Ju vLtfH I
Inspection Coverage:
o Masonry 0 Rebar Placement 0 Foundations
~ Welding 0 Concrete Placement 0 Fireproofing
La'" BoltiD2 0 Tendon Placement 0 Other
Old the architect Or engineer authorize chan~es to city approved plans? Yes 0 (Listed Below) No 0
Description and location of work completed: -..J ~I 1100.1 fir --_ J
,i p" r.,,",,) Uljo" o~" /V, ~I"" ~r f, II.... ...,JJ, ""
gu~Jo"'Ji t\~ ;:~'~/.J <"r-.J /J(~-.. f.~
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List tests performed:
.
Are there any- discrepancies noted from this day' S observations? y ~s 0
Are there any outstanding discrepancie~ on thi~ pn~iect'!. Yes 0
If yes, see attached Summary SheeL
N/)~
N(~
.
.
To the best of OUf knowledge, work inspected was done in accordanee with the approved plans. specifications and
applicable WO'~Vi'iOns of the UBe, "'cept as noied ahove.
Signed: /'" /~ . 'Dat~: /-n _ ,_?/ _ Cl i/
Print FulI N.:/ -1:, u It" ~, . M I. D. Numoer: S- 0(; ? t~, _ h-
/'
(White copy to Braun lnterrecfile. Yel{ow copy to General Conrractor.)
rrm\spc;um~p,4 I f2519j
'JAN. 24. 2005-1: 30P~1
BRAUN INTERTEe
----
NO, 9164-P, 2-
Page _ of
BRAUN
INTERTEC
SIDRPT
Special Inspection Daily Report
City of
Ilr 0/ C. t . /J7Jt/
Report No.:
Project Name:
Project Address:
Client:
Weather.
ss II J..
AofC.llrJl'\t I 0110 f!,Lo&
/ClI,;o CDm,..C/,r AV'{
k"A v..H c..,...J,).lt-r'L,"....
h,J
,
Date of This Report:
Project No.;
1.;,)- ) -0 y
Au -0 'f. n G Jd ~
dient Project No.:
Tern......,.. ...l\.Ire:
-v ,;;..r~/;;
Type of Inspection:
o Continuous
'yPeriodic
Inspection C_, .... _ge:
o Masonry
..J:d."Welding & Bolting
o Piles & P'lers
o Rebar Plo_.:... ,.....:
o Concrete Placement
o Tendon Placement
o Foundations
o Fireproofing
o Soils
o Special Cases
Did the architect or engineer authorize changes to ci1y approved plons~ Yes 0 (Usted Below) No 0
Description ond location of work completed:
/) frlta/~J u:JlJl.f ^~"U,.;(iri'" \...) tilL! bJI.lJ1 n", gu-j,o! h .Jh(/ 7:61:;}.
A""J/t fo fJj'k to Ajk., Jhrl 1tJ~~J ~.., /.fL J(J" t,~... 0.,
Jlnnl t'h~.).-AJ} 06J" 0, 1..," " 'ut" rJ!t>/~"J l"~ ~"L oJ,../,
r!Jt :.,fiJJt.(J rlc,c/O"l .Va JJ.JU~I'lc""'r:I'I' ;)oi..!
. l J- I
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t.)., /{ ()~ f ,t'L "..., J J'. ,)) rJ ,..) J J r' /;' /f ,~ u. ~ d.j.... j
List tests performed:
. Are there any discrepancies noted from this day's observations?
. Are there any ou1standing discrepancies on this project;
. If yes, see ottached Summory Sheet.
Yes 0
.Yes 0
No iY
Noj'J
To the best of O\,.lr knowledge, work inspected was done in accordonce with the approved pions, specifications and applicable
workmanship provisions of the c~Jrren! IBC/UBC, except as noted obove.
~L-----
Signed: ~ .
Print Ful~e: ~ v If ~ u,..... '- ..., '-.
/ I .
Date:
):J - ) - 0 'f
1.0. No.:
J(J(; '7 rt ~ p P .t--
White capy 10 Broun Interlec file. Blue !;Opy 10 Pro;ect Site Representati-,;e.
. Prociding engineering and enwrOTlTTleTlUll solutions since 1957
01/11/2085 11:36
9527585159
KA WITT
PAGE 02
January 10,2005
AUn: Jason Witt
From: Bernl~ Stroh, P.E.
Re: Prior Lake ProfBssional Building
Memo: Per yo~r inquiry; since the ..xterior steel stud framed walls
used on this building have been sheathed with 5/8" COX
plywood I no horizontal bridging will be requir&d. The exterior
pfywood Sheathing provides adequate lateral support for
the studs and will allow the bearing wall studs to support
the maximum intended design loads.
As the Structural Engineer of Record for the project, I
request that you forward this mema to the City of P,iC)r
Lake Building Inspections Office and all other Interested
parties.
End of Merno
~,\\\\I\\lII"U't""'l
~\~\'~ S\O G ~q/~
# ....,~..........~rLl &.
~ ~~.. ....Ta"?-~
I ~... REGISTERED \~"
~ : PROFESSIONAL i !
~ IP.~' ENGINEER f/~~
% :A~.',. 14269 ~...
~... -.. ..-
-~ .......... ~
~".-l O~ M\~ !IS
'FJJ11"II""I'II"\\\\\\~
J hereby <:flrtify +"nh+hlR pion. sl'eoJtl~Qtlon or '~TROH 11211 SlDl:r4~Dl HI'!'"
report II/OS prepared by me or undor my dlrecl F r~~r ~t:=
supe~ion and that I am a duly rt!IQistered NGINEERING lJtnltl.ng~.GOI!l
engineer under the lawI of the stat!! of PROJECT: Prior LokI! ProfessIonal Bldg.
Minnesota.
~GO' 1/10/05
81
Bemle Stron. P.E.
REG.. NO. , 42SQ
nn+4I!
Exterior Steel Stud Wall J:"raml"9
'[13 39\1d
9Sa9P9\'1!99
Lt:S! SB~Z/B!/!B
01/11/2005 11:35
9527585159
Jan 11 05 09:12a Charles Novak
6' STEEL STUD FRAME \.fALL
~ITH A CEMENT STUCCO F1NtsH
ON THE: EXTERtcR
INSTALL 24~ SECTION O~
TREATED PLYVCDD AT THE
BOTTOM SECTIDN OF THE
FRAME "'ALL
1.:::...J
....,..,.
I -' I
t::l
----I
-.....
---
, ........,
~---
CONCRETE SIDE\JALK "'ITH A
THICKENED EDGE
'\ B1WMlNlJUS DRlV[IJAY/ . ~
\~ ~
6' STARTER BL.OCK INSTAL.LE~' ~
DJRECTL Y BELO'" THE 6' STL III
STUDS ABOVE. BLOCK TO :BE I
CORE FILLED AND PINNED TO
THE BOND BEAM
I
12' CONCRETE BLOCK BONn
BEAM WITH 2 #5 ceNT,
~",
\
I
I
I
t~
I
I
II
II I
. .,J .
-"'-
KA WIn
PAGE 03
p.2
S51-~23-225S
, jl ,
L..:o S1W. BAA -'- .JfJI!:fS.
SEE THE STRUCTURAl DRAWINGS FOR
TYPE. SIZE AND SPACING. ANCHOR JOISTS
TO THE MASDNRY "'ALL AS INDICATED
ON THE STRUCTURAL DRAWINGS
RiO RIGID INSULATION INSTALLED OVER
THe: FACE OF THE VATERPROOrING
WATERPROOF THE EXTERIOR FACE OF
THE CONCRETE BLOCK VALLS CONTINUOUS
FROM THE FOOTING TO THE TOP OF THE
"ALL "ITH POLY SHEETING DVER A
TRD"'ELED COAT OF" HYDRDCmE MASTIC
12- CONCRETE BLOCK FOUNDATION
V/ VERTICAL REINFORCING IN A
GROUTED CELL AS INDICATED ON
THE STRUCTURAL DRAVINGS
4' CONCRETE FLOOR SLAB \JITH
F'IBERMESH REINFORCING DVER A
POLY VAPOR BARRIER AND 6- OF"
CDMPACTED SAND AND GRAVEL rIL~
, .
WEST WALL SECTION AT BASEMENT WALL
SCALE' 112- "" 1'-0.
PRIOR LAKE PROFESSIONAL BLDG.
14120 COMMERCE AVENUE
PRIOR LAKE, MINNESOTA
CHARLES NOVAK, ARCHITECT
ROSEMOUNT. MN - 1/10/05
08/05/2004 10:32 9527585159
KA WITT
PAGE 03
"
:-,",AUG-oS-2004 THU 09:51 AI1 BEN'S TOOL
FAX NO. 3202518423
P. 02102
17. 'I'IBADS MK.ITI
118"BENT CUlm. PLT.
2'-0 LONG A'".ac.a..P WELD TO
ANGLE SUPPORTS ON ~
1"IIl SQUARE US
HANDlWLSHOP WBLD
TO STRlNGBR
Me 12X10.6
~
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~~@~Dm~~
AUG 0 9 2004
~
By
a 2 /1!1!!!t;!!
~
CURTAIN TYPE FIRE DAMPER SS/~~
1 1/2 HR. LABEL · VERT. OR HORIZONTAL QUJ
FOR USE IN STATIC SYSTEMS III L
MODELS 0110V AND 0110H TYPE A
QUALlFICA TIONS:
· UL 555 Classified Fire Damper. 1 112 hr. label. (File # 9492).
· Meets all the requirements of UL and NFPA 90A for fire
dampers in static HV AC systems,
· Meets the requirements for BOCA, SBCCI, UBC, IBC and
associated local bUilding codes.
· California State Fire Marshal Listing No. 03225-0935:100.
· City of New York Board of Standards and Appeals. Cat. No. 46O-88-SA.
The 0110 curtain fire damper is UL approved for use where local
building codes require the protection of HVAC ductwork penetrations in
walls, partitions or floors that have a fire resistance rating of up to 2
hours. The 0110 is classified for use only in static "fans off" systems
where the HV AC system is automatically shut down in the event of a
fire alarm.
STANDARD SPECIFICATION:
FRAME: 41/4" (108) wide, 22 ga. (0.85) roll-formed G60
galvanized steel.
BLADES: Curtain type interlocking blades, 22 ga. (0.85)
roll-formed G60 galvanized steel.
FUSIBLE LINK: 1650F (740C) standard. UL Listed.
2120F (1000C) available.
BlADE ClOSURE: Vertical mount model; gravity.
Horizontal mount models are equipped with
stainless steel closure springs and galvanized steel
locking ramps.
MINIMUM SIZE: 4" x 4" (102 x 102).
MAXIMUM SIZE: Single Section
Vertical or Horizontal mount: 60" x 60" (1524 x 1524)
Multiple Section Assembly
Vertical mount: 120" x 120" (3049 x 3049)
Horizontal mount: 102" x 60" (2591 x 1524)
OPTIONS:
o Non-standard temperature fusible link. Specify
o Pull Tab Release. Permits simple reset of horizontal damper when
access door is located below damper. (See dwg. ACC-PTR for details).
o Factory Sleeve. Available in 10 (3.5) through 22 ga (0.85) galvanized steel
and in lengths required for application. Specify: _ length. ga.
NOTES:
1. Units are manufactured 1/4" (6) under nominal duct size.
2. Building code and UL Classification require damper installation in
accordance with manufacturer's instructions. Refer to doc. IOM-FDINST.
Manufactured by members of S.M.W.I.A.
SCHEDULE TYPE:
PROJFCT:
ENGINEER:
CONTRACTOR:
-' ~
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CURTAIN BLADES
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UL LISTED 1--7 -= ~l"
FUSIBLE LINK - -I
(REPLACEABLE)
.t=r.,
ROLL-FORMED _[ 3' (76) -L
FRAME
-= ...:t
k 41/4' (108) I
MODEL 011 OV - VERTICAL MOUNT
':L_L.{;~._._._._.__.g_._
1/-;-
STAINLESS STEEL CURTAIN BLADE
CLOSURE SPRING LOCKING RAMP
MODEL 0110H - HORIZONTAL MOUNT
Dimensions are in inches (mm).
A SERIES
FD
SUPERSEDES I DRAWING NO.
10 -10 - 00' 0100-1
Nailor Industries Inc. reserves the right to change any information concerning product or pricing without notice.
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KA WITT
PAGE 02
KA WITT
4~ /- ~t-1b No. 1690
~l'
$24474245
~ ;.....~ a2
P.131/01
.
-
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....1' {OF PRIOR LAKE 'jtp)
1'200 EAGLE CRc2.KA VENUE SJ!'. '1' t
PlUOIt L\XI, MN.72 U J
~ S'I"JlV"'.l.JL\L 'JESTING ~ INSPE,-.I..I:
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SP.BCIAL ST1tL~... J.I.AL TBS'J1NG AND JNSPL....UA(
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TOTFI.. P.82
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 Fire 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 6.5% 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:
PRIOR LAKE FIRE DEPT.
. Company
Address
City/St/Zip
Attention of:
AUTHORIZED FIRE DEPT. SIGNATURE
ORDERS WILL NOT BE P130CESSED WITHOUT
Autmf!:TU~E ej~ L
........... )' /
INSTALLATION ADDR"Ess"
- REQUIRED BY FIRE DEPT,
- ATTACH LIST IF MORE ROOM IS NEEDED
l4:-IZ-.o r_'~M~~ A~E. N.~
::p (~ 10((. _ ~~. ~AJ ~)~ 77
ORDERED BY: DATE:
Company K.. A:. tJjli"i'" ('~. I&;J(...
Address p.o . ~O~ 9,(~
- -
City/St/Zip ~JEvv' f RA.!~ M,,-, <t,e>1 {
Name & Ph # J~ Wror ~'2,.. ~"cy. 53~"L
ORDER FORM - Payment must be submitted with order
MAIL TO:
ITEM
S2-SURFACE MOUNT (NO MOUNTING KIT OPTION)
S3-SURFACE MOUNT
S3-SURFACE MOUNT W/TAMPER SWITCHES
R3-RECESSED MOUNT
R3-RECESSED MOUNT W/TAMPER SWITCH
MOUNTING KIT (OPTIONAL FOR S-3 & R-3 ONLY)
QTY PRICE TOTAL
$103.00
$126.00
$161.00
$154.00
$179.00
$ 56.00
DAMA-MP INC.
P.O. BOX 47824
PLYMOUTH, MINN.
55447
DARRYL SUNDBERG
763-559-3660
SUB TOTAL
6.5% MINNESOTA SALES TAX
SHIPPING & PROCESSING CHG.
TOTAL AMOUNT ENCLOSED
$8.00
White & Yellow Copy - DAMA CO.
Pink Copy - Customer
...~-~.,~..::.~
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Jul 13 04 08: lOa
miss~
651 423 2255
F'. 1
.zt.o'UUQi
CHARLES NOVAK.ARCHrrECT
C NA 4344 UPPER 135TH STREET WEST
ROSEMOUNT, MN 55068
,;.aII.,:;l..:J...II~..III."L.li''''~I..:I.IIOI'}l~,I...II.,I,II.W.~.t.lIo l,l. ..ljU..~,IJ5;I~...f..:,I.loI~"",'I~:I,_;;.o..',-IIa._.~t.:. l~dIIU.II__..i..JIII.,';:II. It",,,:,. ,.llilWIIIIC. ;'~li'..i4"I,,_;!;, JIl.,............J.-.I........,.....I_~.."..,W~IoIO.....~ '...,_...hJ'..-Iv.iI~"""~
To:
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
from:
I Charles Novak
Attn: Bldg Insp. Dept.
Proiect:
Commerce Ave Professional Bldg
14120 Commerce Avenue
Prior Lake, Minnesota
Date: July 13, 2004
Number of Enclosures: 3
Phone: (651) 423-2254
Fax; (651) 423-2255
cnarch@frontiernet.net
Remarks:
Building Inspection Department;
Enclosed with this fax transmittal please find a copy of the energy calculations for the above project indicating compliance with the
requirements of the Minnesota Building Code. If you have any questions concerning the calculations please feel free to contact me
at any time.
Sin=eJy, ~ J. ' / I
C~.,VI fvL.
Charles Novak
Architect
Jul 13 04 q8: lla
miss~
651 423 2255
p.4
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Jul 13 04 OB:11a
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651 423 2255 p.2
.' . P2'b(, UtE Pl2.OfE~S~L~
appendix 14120 CQMM~IZCE A\lE
PVo(. U~IMf..l
,.
---.
MINNESOTA BUILDING CODE ENERGY
CONSERVATION REQUIREMENTS: ASHRAE STANDARD 90-75
EXPOSED WALL CALCULATION SHEET
Wall Component "U" Value Area ..un X Area
1. Opaque Wall
A. Masonry Wall
1. , x =
2. x =
3. x =
4. x =
5_ x =
B. Foundation Wall (Above Grade) O~12 ~Z1. ~96"\
,. .4" BTl-1Lt..,. ~.. B.L1l + Y..'O \u~&)L )( =
2. x =
C. -wood- Frame Wall
,. wtm 6~act. "alf.~ O,04~ x ''Slit; = ~4 8fp
2. ~ ~"lJUQt1-,I.F.S D. O)~ x_~ = I~.':\L
D. Peripheral Floor Edge
, . x =
2. x =
E. Other x =
2. Glazing . .,. 1~8
A. Windows VJrJ1OJa/lJ IAI/ 1 I"~"L (,l O,,~ x~9 =
B. Doors ALu""" r:wi~a!:( (Q .'10 x t;~ .. = IOU
3. Doors
A. Wood
1. Solid x =
2. With Storm Door x =
B. Metal 1.,01 x 48- = 41,.:4, R.
C. Overhead x =
D. Other x =
AUG '77
Jul 13 04 08:11a
miss~
651 423 2255
p.3
f
ROOF OR CEILING CALCULATION
Component
"U" Value Area "U" x Area
,. Aoof or Ceiling
2. Skylight
3. Other
0,044 )( .,9io = 3~2~2.
x' =
x =
TOTAL OF "U" X AREA ............................................................l~1..1
TOTAL AREA................ . =.... .......... ..... .................. .1"]';<<;0
U (Overall "U" Value) - Total of "U" x Area
o . Total Area -
~'\~~ 1.
Q~~O
Uo =
0.044
ALTERNATE TOTAL BUILDING ENVELOPE DESIGN METHOD
[See Seclion 4.2.4.11
1. Building Envelope Requirements
Required-UO_ Area
Required
rUo x Area)
A. Exposed Wall: o.2~ x _'-<>>11 = l~e",tl~
8. Roof or Ceiling: O.O~ x J2S<'O'. = ~
ALLOWABLE 'TOTAL BUILOfNG ENVELOPE '(lIo' X AREA). ~.... . . . -.. .... -'. -.. 18'i1.9G.
2. Actuaf,Project Building--Envelope---
Actuaf-Uo ~ ~ Area - . - Uo x A,.ea~
A. Exposed Wall: O. CPJ? x 1.081- = '5S&.41
B. Roof or Ceiling: O.,a44 x!1.5So = ~12. 2.0
PROJECT TOTAL BUilDING ENVELOPE CUo X AREA)............................. ~~~
(Meets code requirements if less than
the ALLOWABLE (Uo x Area).)
FR~1 : DR PUFFER
FAX NO. :
JI..l1. 26 213134 133: 213PM P 1
~!J~lI.j~~I.~'~~diIi""!L.~~'''''I,......&,~..LrJ.~''''';~''''..J,.......~.iwit.dI(j'f. ".'...,......_~
FAX COVER SHEET
.-'ax
"l'ransmitta~
Dr. Charles Puffer
14033 CommerceAve. HE
Prior Lake, MN 55372
(Cl~ 447-1080
FAX (qSO?) 4l\1-Q3ib
DATE: 7.... 26..- 0 '1
TO: Eo b H u. 1- L ~ ) (\ S
COMPANY:
FAX NO.: CJ" Z Cf if 7 Lj 2 7'5-
FROM: 1)" ~-(~
COMPANY:
PHONE NO.: 9) Z '1 Y 7 .II) J-()
FAX NO.;
NO. PAGES: 0
'HOt.. COVER PAGe /
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\\.H)~ &(,00
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FAX NO. Jul. 26 2004 03:20PM P2
5.t.c)/e, ;). J -I,",,^ k.~ oC. (\>,1'\'':);')'.5, C'f,d~
FROM : DR PUFFER
Five Radnor Corporale Cenler
100 Mal$onford Road
Radnor. Pennsylvania 19081
(215) 687.5253
ielecopy: (215) 687.1052
MATERIAL
SAFETY
DATA SHEET
PRODUCT NAME
"Y..i::';".' .!,-:>'....,:.:L\. .,,~::.i.'!...
':"fl''l,''lIrOUS,' uXT.ue
- .
CAS.
10024-97-2
TRADENAMEANDSYNONYMS Nitrous Oxide; Nitrous Oxide,
Compressed; Dinitrogen Monoxide; Laughing Gas
CHEMICAL NAME AND SYNONYMS
Nitrous Oxide
DOT 1.0. No.:
UN 1070
DOT Hazard Class:
. Nonfl artmab 1 e Gas
Formukl:
N20
ISSUE DATE AND REVISIONS
Chemleal Family.
Revised, September 1990
Oxide of Nitrogen
HEALTH HAZARD DATA
TIME WEIGHTED AVERAGE EXPOSURE UMIT
50 Molar PPM (ACGIH 1989-1990). OSHA 1989 does not list a TWA for nitrous oxide.
SYMPTOMS OF EXPOSURE
Inhalation: High concentrations of nitrous oxide so as to exclude an adequate supply
of o~gen to the lungs causes dizziness, deeper breathing due to air hunger, possible
nausea and eventual unconsciousness.
~OXlCOLOGIOAL PROPERTIES
Nitrous oxide is a slight narcotic but lacks substantial 'toxicity. Therefore, its
~ajor property is the exclusion of an adequate supply of o~gen to the lungs.
(Continued on Page 4)
Nitrous oxide is not listed in the IARC, NTP or by OSHA as a carcinogen or potential
carcinogen.
Persons in ill health where such illness would be aggravated by exposure to nitrous
oxide should not be allowed to work with or handle this product.
ReCOMMENDED FIRST AlD TREATMENT
PROMPT MEDICAL ATTENTION IS MANDATORY IN ALL CASES OF OVEREXPOSURE TO NITROUS OXIDE.
RESCUE PERSONNEL SHOULD BE EQUIPPED WITH SELF-CONTAINED BREATHING APPARATUS.
Inhalation: Conscious persons should be assisted to an uncontaminated area and inhale
fresh air. Quick removal from the contaminated area is most important. Unconscious
p'ersons should be moved to an uncontaminated area, given mouth-to-mouth resuscitation
and supplemental oxygen. Further treatment should be symptomatic and supportive.
(.
~,_..
IntCC'rn:ltion contained in IMll101\el'i31 $8fetydata sheet Isoff<<e<f withOUt c:tw(J8 for usa by teehnallyquar;liecl personnel at thelrdOsctetion and
risk. Allsl:lIemenl$.. teehnic:sl infotm3tionatld tOCOl'I'lMClndatioMCCftlalnecll>ercin arc based on les/$ and<bta \" ~1 we berll!Y8 to berellable. but
Ihe accuracy ClC"oomp1e1enCSSlhereof is not guaranteed and no w:1~nty 01 any kind is made with r8spec1 thereto. ThiSlnformallon is not intended
asa license \0 operate under ora recommendation to pf3Ctice or infringe any palent of this Company or othenlooYering any process, composition '
of maIler or use." .: .:. . .' . . .. . '. :, ; I.. '" ., ., '.'
Since 'he~.;any aksU hsvetlOet>nlrol of the u.-:.eef tho ptOdudd4ecrlbec:l herein, the Cocnpany&ll$Ume::mo liabilitrfor Ios$ ocdamage Inc;:yrrea. "
Irom the proper CC' imProper use ohucn product.. , : .' ,', ';'. . ..' :"'. :," ':::~:.: . .~.,:.~.. '. ::'~:.>.
FROM DR PUFFER
FAX NO.
Jul. 26 2004 03:21PM P3
() '.
.\
V2U
I?age ,J
\:.
HAZARDOUS MIXTURES OF OTHER LIQUIDS, SOLIDS, OR GASES
See Page 4
.~
BOILING POINT
-127.20F (-88.440C)
VAPOR PRESSURE
@ 700F (21.10C) = 754 psia (5200 kPa)
SOlUStUiY IN WATER
Slightly Soluble
EVAPORATION RATE
NjA
APPEARANCE AND ODOR
PHYSICAL DATA
LIQUID DENSITY AT BOILING POINT .
76.8 1 b(ft3 (1230 kg/m3)
GAS OENSllV AT7O"F. t atm
0.1146 lb/ft3 (1.836 kg/m3)
FI'lEEZING POINT
-131.60F (_90.goC)
SPECIFIC GRAVITY tAlR;=tl
i @ looF (21.10C) = 1.53
Colorless gas with slightly sweet taste and odor
FIRE AND EXPLOSION HAZARD DATA
FLASH POIt({' (Method ~ AUTO IGNITION TEMPERATURE I FLAMMAGLE LIMITS" BY VOLUME
N/A N/A LEL N/A UEL NjA
EXTINGUISHlNG MEDIA Copious quantites of water for fires with ELECTRICAL ClASSlflOATION
nitrous oxide as the oxidizer. Nonhazardous
SPECIAl. fiRE FIGHTING PROCEDURES
If possible, stop the flow of nitrous oxide which is supporting the fire. If cyl inders
are involved in a fire, safely relocate or keep cool with water spray.
UNUSUAL FIRE ~ND EXPLOSION HAZARDS
Nitrous oxide has been known to decompose exothermically to oxygen and nitrogen at
elevated temperatures. This decomposition has also been shown to have explosive
force (also see Reactivity Data). ,.
REACTIVITY DATA
CONOlTIONS TO AVOIO
'"'-L
Sf ABILIlY
U~tatlle
Decomposes to HZ and 02 (2: 1 ratio) at'Mgtl- {>12000F}
temperatures. lSee Hazardous Decomposition Products)
Stable
x
INCOMPATIBILiTY (Materials to ;lllQidl
HAZAROOUS POLYMERIZATION
All flammable materials
See Page 4 .
CONomONSTO AVOIO
HAZARDOUS oECOMPOSITION PRODUCTS
May Occur
Will Not Occur X
N/A
SPILL OR LEAK PROCEDURES
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Evacuate all personnel from affected area. Use appropriate protective equipment. If
leak is in userls equipment~ be certain to purge piping with an inert gas prior to
attempting repairs. If leak is in container or container valve, contact your closest
supplier location or call the emergency telephone number listed herein.
,..
wASTE DISPOSAl.. METHOD
Do not attempt to dispose of waste or unused quantities. Return in the shipping con-
tainer properly labeled~ with any valve outlet pluQS or caDs. secured and valve oro-
tectiori cap in place to your supplier. for emergency disposal assistance, contact your
r:lnc;".c;:f- <:"l'\l'\,~....lnr~tinn nr t':i'lll thp. emeraency telephone number listed herein. .~.
FROM DR PUFFER
FAX NO.
Jul. 26 2004 03:21PM P4
N 1.0(0 L
SPECIAL PROTECTION INFORMATION Page 3
,ReSPIRATORY PROTE\.,iC;'; i:;peciiyiyoei t:iositjve pressure air line wHhiiiasK or-se-if-contained '--
, breathing apparatus should be available for emergency use.
VENTILATION LOCAL EXHAUST SPECIAL
To prevent accumulation above the TWA
MECHANICAL (Gen.)
N/A
See Local Exhaust
N/A
I OTHER
NJA
PROTeCTIVE GLOVES
EYE PR01'ECTlON
Any material
Safety goggles or glasses
Safety shoes
OTliER PROTECTiVe EQUIPMEN'I'
SPECIAL PRECAUTIONS"
SPECIAL LABELING INFORMATION
DOT Shipping Name: Nitrous Oxide or Nitrous Oxide, Compressed 1.0. No,: UN 1070
DOT Shipping Label: Nonflammable Gas DOT Hazard Class: Nonflammable Gas
SPECIAL HANDLING RECOMMENDATIONS
Use only in well-ventilated areas. Valve protection caps and valve outlet threaded
plugs must rema,in in place unless container is secured with valve outlet piped to use
point. Do not drag, slide or roll cylinders. Use a suitable hand truck for cylinder
movement. Use a pressure reducing regulator when connecting cylinder to lower pressure
(<1,500 pSig) piping or systems. Do not heat cylinder by any means to increase the dis-
charge rate of product from the cylinder. Use a check valve or trap in the discharge
line to prevent hazardous back flow into the cylinder.
For additional handling recommendation~. consult Compressed Gas Association's Pamphlets
P-1, P-2, P-14, and Safety Bulletins 58-2 and SB-6.
SPECIAl STORAGE RECOMMENDATIONS
Protect cylinders from physical damage. Store in cool, dry, well-ventilated area away
from heavily trafficked areas and emergency exits and away from full or empty stored
cylinders which contain flammable products. Do not allow the temperature where cylin-
ders are stored to exceed 130F (54C). Cylinders should be stored upright and firmly
secured to prevent falling or being knocked over. Full and empty cylinders should be
segregated. Use a "first in - first out" inventory system to prevent full cylinders
being stored for excessive periods of time.
For additional storage recommendations, consult Compressed Gas Association's Pamphlets
P-1. P-2, P-14, and Safety Bulletins SB-2 and 58-6.
SPECIAL PACKAGING RECOMMENDATIONS
Nitrous oxide is noncorrosive and may be used with any common structural material.
Nitrous oxide oxidizes some metals at elevated temperatures.
JTHEf:l AECOMMENOAYIONS OR PRECAUTIONS
Compressed gas cylinders should not be refilled except by qualified producers of
compressed gases. Shipment of a compressed gas cylinder which has not been filled
by the owner or with his (written) consent is a violation of Federal Law (49CFR).
(Conti nued on Page 4) ,.'
FROM DR PUFFER
FAX tn :
Jul. 26 2004 03:22PM P5
W il\ S1-C~ d. ,} \.....'" k~ cJ
fJ1i) (UL
J
Pace 4, )
HEALTH HAZARD DATA
SYMPTOMS OF EXPOSURE:
(Continued)
(
......::t>/
It is also employed as an anesthetic when mixed with oxygen. These mixtures
are generally 80 molar % NZO and 20 molar % O2.
HAZARDOUS MIXTURES OF OTHER LIQUIDS, SOLIDS, OR GASES.
Nitrous oxide will serve as the oxidant for most flammable compounds. Some
flammables (general allenes) have a lower flammable limit in nitrous oxide
than in pure oxygen.
Pow~rful reducing'agents will react violently with nitrous oxide at room
temperatures.
REACTIVITY DATA
HAZARDOUS DECOMPOSITION PRODUCTS:
Decomposition to NZ and 02 will occur at a lower temperature (approximately
650QF), if oxides of silver, copper and nickel are present. Some of these
oxides may result from soldering or brazing operations.
(
I
,-i
'. ,i
_ ~"'f
.
SPECIAL PRECAUTIONS
OTHER RECOMMENDATIONS OR PRECAUTIONS: (Continued)
Always secure cylinders in an upr)ght position before transporting them. NEVER
transport cylinders in trunks of vehicles, enclosed vans, truck cabs or in
passenger compartments. Transport cylinders secured in open flatbed or in open
pick-up type cylinders.
C '.:;..../
....1
FROM
DR PUFFER
FAX NO.
Jul. 26 2004 03:22PM P6
Ox 'y ~ Q..I\.
".
HAZARDOUS MIXTURES OF OTHER UQUIDS, SOLIDS, OR GASES
Oxygen vigorously accelerates combustion. Contact with all flammable materials should
be avoided. Some materials which are nat flammable in.air will burn in pure oxygen or
oxygen-enriched atmospheres.
-',
"',
pag~~~
',,-
....
{
1'-'"
PHYSICAL DATA
BOILING POINT LIOuro OENSITY AT BOII.ING POINT
-297.30F (-182.90C) 71.23 lb/ft3 (1141 kq/m3)
VAPOR PRESSURE @ 700 F (21.1 OC) = Above the GAS DENSITY AT70'~. 1 aIm
critical tem~erature of -181.10F (-118.40C) .0828 lb/ft3 (1.326 kQ/m3)
SOLUBILJ'rv IN WATEA I FRSEZING POINT
51 ightly I -361.BoF (-2IS.BOe)
EVAPORATION /=lATE I SPECIFIC GRAVITY IAI&:l=,.
N/A I @ 700F (2l.10C) = 1.11
APPEARANCE ;"NO ODOR
Colorless, odorless gas
. . _. ~ .. 0_....' '..
FIRE AND EXPLOSION HAZARD DATA
FLASH POINT IMelnod USedl AUTO IGNITION TEMPERATURE FLAMMAGLE LIMiTS"" ev VOLUME
N/A N/A LEL N/A UEL N/A
EXTINGurSHINGMEDIA Copious quantities of water for fires with ELECTRlCAI.Cl.ASSIFlCATION
o~yqen as the oxidizer. Nonhazardous
SPECIAL FIRE FIGHTING PROCEOUFlES
If possibles stop the flow of oxygen which is supporting the fire.
UNUSUAL FII=le: AND EXPLOSION HAZAROS
Vigorously accelerates combustion. If cylinders are involved in a fires safely relocate ~
or keep cool with water spray.
STABILITY
Unst3Qle
REACTIVITY DATA
CONOITIONS TO AVOID
SlaDle
x
N/A
INCOMPATIBILITY (MaterialS to aVOldl
All flammable materials
HAZAROOUS OECOMPCSfTIQN PFlGOUC1'S
HAZARDOUS POLYMERIZATION
None
CONDITIONS TO AVOID
May Occur
Will Not Occur
x
N/A.
SPILL OR LEAK PROCEDURES
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASeD OR SPILLED
Evacuate all personnel from affected area. Use appropriate protective equipment. If
leak is in user's equipment, be certain to purge piping with an inert gas prior to
attempting repairs. If leak is in container or container valve, contact your closest
supplier location or call the emergency telephone number listed herein.
l
I
I
I
It
iNASTE DISPOSAL METHOD '
Do not attempt to dispose of waste or unused quantities. Return in the shippi,ng con-
tainer properly labeled~ with any valve outlet oluQS or caps secured and valve protec-
~ion cap in.place to y~ur supplier. For emergency disposal assistance, cont~ct your
_losest suppl,er locat,on or call the emergency telephone number listed here1n.
...--
,.'
'.'"
FROM : DR PUFFER
FAX NO. :
Jul, 26 2004 03:23PM P7
f
;,..
./'1'
((TORY PROTECTION (Specify TYoel
,,/
/'
"l1ENTILATlON
SPECIAL PROTECTION INFORMATION
N/A
o '1' ~ 4 e,{\
Page 3
N/A
I SPECIAL
N/A
I OTHER
N/A
See Local Exhaust
LOCALEXHAU$T To prevent accumulation
above 25 molar oercent.
MECHANICAL (Gen.l
,.'
PROTEcilVE GLOVES
As required; any material
EVE PROTECTION
Safety goggles or glasses
OTHER PROTECTIVE eQUIPMENT
Safety shoes, safety shower
SPECIAL PRECAUT10NS.
SPECIAL LABELING INFORMATION
OOT Shipping Name: Oxygen or Oxygen, Compressed
DOT Shipping Label: Oxidizer
SPtCIAL t'lANOI./NG RECOMMENDATIONS
Use only in well-ventilated areas. Valve protection caps and valve outlet threaded
. plugs must remain in place unless container is secured with valve outlet piped to use
point. Do not drag, slide or roll cylinders. Use a suitable hand truck for cylinder
movement. Use a pressure reducing regulator when connecting cylinder to lower pressure
(<3.000 psig) piping or systems. Do not heat cylinder by any means to increase the
discharge rate of product from the cylinder. Use a check valve or trap in the discharge
line to prevent hazardous back flow into the cylinder.
DOT Hazard Class: Nonflammable Gas
1.0. No.: UN 1072
For additional handling recommendations, consult Compressed Gas Association's Pamphlets
P-l, P-14, and G-4.
..., EClAL STORAGE RECOMMENDATIONS
.Protect cylinders from physical damage. Store in cool, dry, well-ventilated area away
from heavily trafficked areas and emergency exits and away from full or empty stored
cylinders which contain flammable products. 00 not allow the temperature where cylin-
ders are stored to exceed 130F (54C). Cylinders should be stored upright and firmly
secured to prevent falling or being knocked over. Full and empty cylinders should be
segregated. Use a IIfi rst in - first out" inventory system to prevent full cyl inders
being stored for excessive periods of time.
For additional storage recommendations, consult Compressed Gas Association's Pamphlets
?-l, P-14, and G-4.
I
SPECIAL PACKAGING ReCOMMeNOATloNS I
Carbon steels and low alloy steels are acceptable for use at lower pressures. For high'
pressure applications use stainless steels, copper and its alloys, nickel and its
alloys, brass, bronze, silicon alloys, Monel~, Inconel~,or be~llium. Lead and silver
or lead and tin alloys are good gasketing materials. Teflon~ and Kel-F@ are the pre-
ferred nonmetal gaskets.
Special Note: It should be recognized that the ignition temperature of metals and non-
metals in pure ox~~en service decreases with increasing oxygen pressure.
)THER RECOMMENOATIONS OR PRECAuTIONS
Oxygen should not be used as a substitute for compressed air in pneumatic equipment
since this type generally contains flammable lubricants. Equipment to contain oxygen
must be "cl eaned for oxygen service. II See Compressed Gas Association Pamphl et G-4. L
...;ompressed gas cylinders should not be refilled except by qualified producers of com-
pressed gases. Shipment of a compressed gas cylinder which has not been filled by the.
(Continued on last page)
"VariOUS Govemment agencies (i.e.Oepa"ment ofTl3IISPon,lliOn. Occupalionel SafelY and Hoall" AcSmini$lr8tion. FOOCI and ONg Admini51rallOn
FROM DR PUFFER
FRX NO.
Jul. 26 2004 03:24PM P8
[)'x '{ 1e.V'
Pa-g..e'~
HEALTH HAZARD DATA
TIME WEIGHTED AVERAGE EXPOSURE LIMIT.: (Continued)
(approximately 21 molar % of the atmosphere). OSHA 1989 does not list a TWA
for oxygen.
(
~./
SPECIAL PRECAUTIONS
OTHER RECOMMENDATIONS OR PRECAUTIONS: (Continued)
owner or with his (written) consent is a violation of Federal Law (49CFR).
Always secure cylinders in an upright position before transporting them. NEVER
transport cylinders in trunks of vehicles, enclosed vans, truck cabs or in
passenger compartments. Transport cylinders secured in open flatbed or in open
pick-up type vehicles.
.....-/'
,.
....-"".
._,::'"
~ROM : DR PUFFER
I
FRX NO. :
~ -1:J/~ ~ 2
Jul. 26 2004 03:24PM P9
''1 'T~v\k-s -~ C))<Y1\C:/)
Five Racnor Corporate Cenlel
100 Malsontotd !=load
Radnor. Pennsylvania 19087
(215) 587.5253
Te/ecopy: (2151687.'052
MATERIAL
SAFETY
DATA SHEET,
PelOOUCT NAME
\~p~jr~:~h;;:""-~
TRADE NAME AND SYNONYMS
Oxygen; Oxygen, Compressed
CHEMICAL NAME ANO SYNONYMS
CA$ ..
i DOT 1.0. No.:
DOT Hazard Class:
7782-44-7
UN 1072
Formula:
Nonflanunable Gas
O2
Oxygen
ISSUE DATE AND REIIlSIONS
cnemlcal Fame/y:
May 1990
Oxidizer
HEALTH HAZARD DATA
TIME WEIGHTED AVERAGE ~XPOSURe LIMIT
None established lACGIH 1989-1990). Oxygen is the "vital elementlJ in the atmosphere in
which we live and breathe (Continued on last page)
SYMPTOMS OF EXPOSURE.
Breathing high concentrations (greater than 75 molar percent) causes symptoms of hyper-
oxia which includes cramps, nausea, dizziness, hypothermia, amblyopia, respiratory
difficulties, bradycardia, fainting spells, and convulsions capable of leading to death.
For additional information on hyperoxia. see Compressed Gas AssociatiQn's Pamphlet P-14.
TOXICOLOGICAL PROPERTIES
The property ;s that of hyperoxia which leads to pneumonia. Concentrations between 25
and 75 molar percent present a risk of inflammation of organic matter in the body.
Oxygen is not listed in the IARC, NTP or by OSHA as a carcinogen or potential carcinogen.
Persons in 111 health where such illness would be aggravated by exposure to oxygen .should
not be allowed to work with or handle this product.
RECOMME.NOeO FIRST AID TREATMENT
PROMPT MEDICAL ATTENTION IS MANDATORY IN ALL CASES OF OVEREXPOSURE TO OXYGEN. RESCUE
PERSONNEL SHOULD BE COGNIZANT OF EXTREME FIRE HAZARD ASSOCIATED WITH OXYGEN-RICH
ATMOSPHERES.
Conscious persons should be assisted to an uncontaminated area and breathe fresh air.
They should be kept warm and quiet. The physician should be informed that the victim
is experiencing (has experienced) hyperoxia.
Unconscious persons should be moved to an uncontaminated area and given assisted res-
piration. When breathing has been restored, treatment should be as above. Continued
treatment should be symptomatic and supportive.
lnlortnal,on contained in lnis material salQly data sheet is offered witheYl c/'large for use by lechn ieal1y QUalified personnel at tneir dlscrelion and
fISk. All ~ta.ternents.. technical infcrm:ition and reeo .,dations contained hef'ein 31'0 b9sed on tKl& and data which we beJ;eV8 to be reliable. bUI
lIle accuracy or eornpletel1eS$ltlereol is nolguaranteed and no WlImanty 01 any kind is made with respect lhereto. Thi$ infonnalion is not intended
_. asa lioem:eto operate underOl a recommendatiOn to prac/.ice or in/tinge anyp;llen, oIlhisCompany or others covering lUly process.eornooSihon
of matter Of use, '
Since the CotllQ3nYSl'tall "ave noeonlrol of lhe use 01 lite oroctuct dcs:eribed herein.lheCom~3tly usume5 no li30illlyforloss ord3mage i~u((ed
fram tile orODel' or jmgroper use of such product ' .
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Department of Administration
Building Codes and Standards Division
Minnesota Accessibility Code
C)
Chapter 1341
Extractedfrom Minnesota Rules 1999
Text Provided By:
o
The Office of Revisor of Statutes
7th Floor, State Office Building
S1. Paul, MN 55155
Reformatted By:
()
Building Codes and Standards Division
121 7th Place East Suite 408
S1. Paul, MN 55101-2181
Stock No. 3-25 $7.95
.~-
This handout covers the most asked questions concerning the Minnesota Disability
Code. Your project may require additional interpretations for issues not covered by this
handout. Feel free to contact the City of Prior Lake Building Department for more
information.
BUILDING ACCESSIBILITY: (Where required)
Access is required to all areas of all temporary or permanent buildings and portions
thereof.
Exceotions:
. Temporary construction shelters
. Crawl spaces, catwalks, mechanical and equipment rooms, etc.
. Areas approved by the Building Official
. Single family dwelling units
Aoartment House:
An apartment house containing more than twenty (20) dwelling units shall have at least
two (2) percent of the units accessible and not less than one. All dwelling units on the
site shall be considered to determine the total number of accessible units.
Accessible Route:
When a building is required to be accessible, the minimum clear width shall be thirty-six
(36) inches interior and forty-eight (48) inches exterior. Accessible routes shall not pass
through kitchens, toilet rooms, storage rooms, closets or other similar spaces. Exterior
site approach shall not exceed a slope of 1 :20 and shall be designed so water will not
accumulate on the walking surface, accessible route shall not be less what is required
for exit minimums.
Accessible Ramos: (Interior protected from the weather)
. Slope of the ramp shall not exceed 1: 12.
. Ramps with a rise of six (6) inches or run of seventy-two (72) inches shall have
handrails.
. Landings at the top and bottom of the ramp shall be at least the same width and at
least sixty (60) inches long.
. Landings shall be at least as wide as the widest ramp leading to it and at least sixty
(60) inches in length.
. The maximum rise for any ramp section is thirty (30) inches.
. Ramps that change direction shall have a landing at least sixty (60) by sixty (60)
inches.
. Handrails are required on ramps that have a rise of greater than six (6) inches or run
greater than seventy-two (72) inches.
..
WHEELCHAIR ACCESSIBLE STALLS
:[,,::,;,::\,,:,:::{,::,::t":":~ \ \\~:::::,:,:,t":::':":::"':'::E:'::"t':":::i,i:i:
~~~~ ~~~~
~I~~ 66 min ~ t~J
J? 1677 mm ~ ~}t
@ W
j:.:! -',
rm CLEAR FLOOR mm
~:::::: :::::::
~~ SPACE ~~
J~ . \F
If the door swings into the stall, the required depth shall be 66 inches minimum clear
space in front of the water closet.
+:::~::::::::::::::)::::::::::::::::::~:;:;:::::::::::;::::::::~}::::}!::::::~;:::i
, 1-;2', T,Y ~1'
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CD
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18"......'"
60n
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Wheelchair accessible stalls shall be 60 inches wide minimum and provide 48 inches
minimum clear space in front of the water closet.
TOILET PAPER DISPENSERS
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LAVATORIES
Lavatories shall be mounted with the rim 34 inches maximum above the floor and with
a clearance of 29 inches minimum from the floor to the bottom of the front edge of the
apron. Fixtures shall extend 17 inches minimum from the wall. Clearance between the
bottom of the front edge of the apron and the floor shall be 29 inches minimum. The
clear knee space shall be 8 inches in depth minimum at 27 inches minimum above the
floor or ground and 11 inches in depth minimum at 9 inches minimum above the floor or
ground. The dip of the overflow shall be ignored when checking the clearances.
l~.
! ' 0 ~ \\ 11 ~
c<l 'E en - \-.:?t~~~ ~
r-- ~ - '- - - .:.:.:.
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*:::::::}::;:::::;::::::::::::::::::::::::::::: :::::::::: :::;. f~:m
11 .
LEG CLEARANCE mln
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TOE CLEARANCE
17 min
FIXTURE DEPTH
LAVATORIES
17 min
c
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o
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1 CLEAR "I
I
I FLOOR
I SPACE
I
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L______.__J
1 9 max
.~
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\
48 min
1
Clear floor space, 30 inches by 48 inches minimum, shall be provided in front of a
lav~tory or sink to allow a forward approach and shall extend '19 inches maximum under
the lavatory or sink.
':Jfttlflf.l;ffIlfll_..
~....................
l\:;:;:;:;:::::}tr' I
32 min
815
.I~ J
.................,_.....~...
.............
..................
..............
................
.................
...............
.................
.................
...............
..............
..................
1]...........................,.
..................
...............
...............
:;:;:;:;...................1
32 min
815
J
I......................
9..........{-
............
...............
............
M:;.::::.:~..:::..~:..::.:.:..;:.::: )
(b) Sliding Door
-+-
32 min
815
(a) Detail
I
t.. . . . .. .. '?ilil.l!J1
.............
.............
.............
.............
............
............
...........
I
Etj'" .. . .. ..~
..............
.............
................
..............
.............
............
.............
(c) Folding Door
Fig. B4.13.5
Clear Doorway Width and Depth
PULL SIDE
r---------l
i B- i
c: I V I
E In I~ 118min
o ~ I / I 455
co I I
>,........;.;.......:..,L \1,..:j".'.'.':':':':::J>
)'::;:::::::::;:::::::;:;1--' ~:..:::~:::;.;:::;:::::::::::.:::::::.~
x.
PUSH SIDE
r - r - - - - - -.,
J I I
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Ell f I
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co;:::: I I ... I
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I I I
~.:.:.;;.:;.::.;;..;.;;.:.;;.;;.:.;:.~.;:.:::..;:.:.:.;'.1:.:.:.:.:-:.:.:.;;-
f.: '. 't................')
NOTE:.l' = I:; in (305) if the door
has both a closer and a latch.
(a) Front Approaches - Swinging Door
PULL SIDE
PUSH SIDE
x
E In
N CO
>-vo
f
r------j
I I
i I <$3
f I
I ". ).........
~lli:~:::i::::::;::;::. .tf::::::i:::::::::::::::::::t
54 min
1370
$
~..........,...;.................::::::6---
,:.::::::::::~::::::~::::::::?::;zj-
c
NOTE: .l' = 36 in (915 mm) minimum if \. = 60 in
(1525 mm):.l' = 42 in (1065 mm) minim~m if \. = 54
in 11370 mm). .
NOTE: y = 48 in (12:!O mm) minimum if
door has both a latch and a closer.
(b) Hinge-side Approaches - Swinging Door
NOTE: All doors in alcoves shall comply with the c1ear.lOces for from approaches.
Fig. B4.13.6
Maneuvering Clearances at Doors
36 min
915
36 min
12 min
~05
~-:-:..'
~(
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(a)
Back Wall
1
12 min
~05
-~~--
~ ~
I 6
M .
M ..
- 12
o
42 min
305
1065
11~13i-
1
275-325
I
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1
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\""""",,-
(b)
Side Wall
Fig. 29
Grab Bars at Water Closets
,"I
7-9
175-ZXl
~
':,-----" 2 min
r-r !IO
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I 15 min
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Fig. 28
rIA~" ~l,.v'\r' c:.n=-rp ~t W~tl".r Closets
o '"-
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Surface mounted dispenser
Fig. 29(c)
Toilet Paper Dispenser
42 min 18
1065 455
r
.
.,...
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clear
floor
space
c
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M .
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.s = : ::
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Eg~oncn~~~ O~
cnNt\l::5N...MOl ~;:
kn~~ 8 min
clearance 205
6max loe
1~0 clearance
17min depth
430
Ag.31
Lavatory Clearances
1 7 min
430
c
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M.
.....................
.
. clear
. floor
. space
o
"
.
.
:...................:
1 9 max
485
t\
48 mln
1220
I
Ag. 32
Clear Floor Space at Lavatones
Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
draWing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
'!&ott
~
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May 5, 2004
http://www.co.scott.mn.us/servletJ com. esri. esrimap. Esrimap?ServiceName=overview &Client...
5/5/04
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200 LIH. FEET OF HB16'"Hl6H GmAA BOARD
PflNN;,y Fet::;.E TO """'lOt EXtSTlN6
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EXISTING BUILDING
N:>V
5 HWA
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PROPOSED
BUILDING
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_.__.__.__.__ . -i
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Mulch
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COM MER C E'
AVENUE
PROPOSED LANDSCAPE PLAN
SCALE I' = 20'-0"
PLANTING NOTES:
Contractor shaH provide one year guarantee of all plant materials. The guarantee
begins on the dote of the LandscClpe Architect's written acceptance of the Initial
planting. Replacement plant materials shall also have a one year guarantee
commencing upon planting.
All plants to be northern-grown and hardy.
Plants to be installed os per standard AAN planting practices.
Use minimum 12'" 1000m planting soil on trees and 6" on shrubs (sides Clnd bottom
of hole). '
Contractor sholl verify locations with all utilities prior to installation of plants.
Stoking of trees optional; reposition if not plumb after one year.
SCHEDULE
OF
Pl.AHTIHGS
1- -- ....-.- 1 - 1-
1+---'" --'--1........ j....
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fl i"'- .... ..... I.... ..... .... 17 MUll pm
11~1- -.....~ _ 17_ ...
~,.._-_.=---- - -- ~-,_._-=----~-,----
Wrap all smooth-barked. trees-fasten top and bottom. Remove by April 1.
Open top of burlap on Be materialS; remove pot on potted plan ts; spHt and
.break apart peat pots.
Prune plants os necessory - per standard nursery practice and to correct poor
branching.
Owner sholl be responsible for maintenance ofter acceptance of th!l work by the Owner.
Plants sholl be immediatey planted upon orrl'nJl at site. Properly heel-in
materids. if necessary; temporary only.
c.::&:IIIII8............
AU disturbed areas to be sodded unless otherwise noted; sod to be standard
northern-grown and hardy bluegrass mix.
Atl planting beds sholl have (4 oz. min.) weed bOfTier fabric. 4- of mulch and
valley-view poly edging. The edging shall be placed with smooth curves.
Rock mulch 4- deep shotl be provided in all P4anting beds adjacent to sidewalks.
parking. .and driveways. Rock mulch shall be 1/2- washed River Rock.
Shredded hardwood mulch shaH I)e used around all trees.
TI-E LANDSCAPE AND lRRIGATD4 CONTRACTORS SHALL
PREPARE 'DESIGN-BUILD' DETAILED DOCUMENTS BASED
DN THE DESIGN CONCEPTS INDICATED IN THE AIUACENT
LMD~CAPE PLM. so-En.U;S. NOTES AND SPECIF'ICATIDHS.
VERIry IRRIGAn~ REQU1REHEHTS VITH LDCAL ORDItWCES
AND iNSTALL A LANDSCAPE IRRIGATlCI\I SYSTEM AS REQtJJR(D
TO IRRIGATE ALL lJMDSCAPED AREAS
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M~SOTADEPARTMENTOFHEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Prior Lake Professional Building, 14120 Commerce Avenue, Prior Lake,
Scott County, Minnesota, Plan No. 050085
OWNERSHIP:
Nova Praha Leasing, Inc., c/o Crossroads Optometric, 14093 Commerce Avenue, Prior Lake,
Minnesota 55373
SUBMnn:~.;R(S): Charles Novak Architect, Inc., 4344 Upper 135th Street West, Rosemount, Minnesota 55068
Plans Dated: June 4,2004
Date Received: July 7,2004
Date Reviewed: August 9, 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.
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.
REQUlREMENT(S):
1.
All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Rules,
part 4715.0320).
;)f\ 2.
The sump receiving the wastewater from the floor drains located in the basement level may not discharge to
grade. The sump must discharge to the sanitary sewer through a direct connection in at;:cordance with
, Minnesota Rules, part 4715.2440, subpart 2.
3.
The sump must be designed in accordance with Minnesota Rules, part 4715.2440. The following items
must be included in the construction of the sump:
a, The top of the sump tank must be provided with a vent pipe which shall extend separately through the
roof, or may be combined with other vent pipes.
b. A gate valve and check valve must be provided on the sump pump discharge line, must be accessible
and located outside of the sump.
Prior Lake Professional Building
Plumbing
Plan No. 050085
Page 2
August 9,2004
c. An air-tight cover must be provided for the sump.
4. It appears that each 4-inch roof drain will serve approximately 2,520 square feet of roof area. The following
comments pertain to the sizing of the roof drainage system (see Minnesota Rules, part 4715.2710):
a. The 4-inch horizontal leaders serving each roof drain must be installed with a slope of at least lA-inch
per foot.
b. The horizontal leader serving two roof drains must be 5 inches in size installed with a slope of at least
Yz-inch per foot or be at least 6 inches in size.
c. The 6-inch horizontal leaders serving all three roof drains must be installed with a slope of at least
lA-inch per foot.
5. The roof drains must discharge to an approved place of disposal. In no case shall water from the roofs be
allowed to flow upon the public sidewalk.
6. Changes in direction in drainage piping must be made by appropriate use of wyes and bends. Sanitary tees
are not allowed where the direction of flow changes from either vertical to horizontal or horizontal to
horizontal (see Minnesota Rules, part 4715.2410).
7. A full-size vent stack (3-inch minimum) must be provided for every building (see Minnesota Rules,
part 4715.2520, subpart 1). This stack must be continuous in size from its base to its terminal and should be
the most remote stack from the location where the building drain leaves the building. A 3-inch vent stack
extending full-size from its base to termination above the roof is not shown on the submitted plans.
8. The floor drain to receive the water softener discharge must be individually vented in accordance with
Minnesota Rules, part 4715.2620, subpart 4.
9. The floor sink in Suite C must be individually vented in accordance with Minnesota Rules, part 4715.2620,
subpart 4.
10. Floor drains farther than 25 feet from a vented waste pipe shall be vented (see Minnesota Rules,
part 4715.1300, subpart 4). A vent must be provided for the floor drains located in the basement level.
11. Water closets in public bathrooms must have open-front seats.
12. In all buildings other than dwellings, shutoff valves shall be installed which permit the water supply to all
equipment in each separate room or to each individual fixture to be shut off without interference with the
water supply to any other room or portion ofthe building (see Minnesota Rules, part 4715.1800, subpart 6).
13. The direct connection between a potable water supply and the lawn irrigation system shall be provided with
an approved backflow preventer in accordance with Minnesota Rules, part 4715.2110, T, and
part 4715.2100.
14. All solder and flux used for the potable water distribution systems shall contain less than 0.2 percent lead.
Use of 50-50 solder or flux containing more than 0.2 percent lead is prohibited in potable water distribution
systems. Any solder other than 95-5 tin-antimony or 96-4 tin-silver must be specifically approved by the
administrative authority prior to use (see Minnesota Statutes, Section 326.371). Joints to be soldered must
be properly fluxed with noncorrosive paste-type flux complying with ASTM Standard B813-00.
- /)
Prior Lake Professional Building
Plumbing
Plan No. 050085
Page 3
August 9, 2004
15. PVC plastic pipe used for the drain, waste, and vent system shall comply with ASTM Standard D 2665,
D 2949 or F 891 (see Minnesota Rules, part 4715.0570 through part 4715.0600). Solvent weld joints in PVC
and CPVC pipe must include use of a primer which is of contrasting color to the pipe and cement (see
Minnesota Rules, part 4715.0810, subpart 2).
16. Plastic pipe must be installed in accordance with Minnesota Rules, part 4715.0580(F) and part 4715.0600.
Above-grade horizontal runs of plastic waste and vent pipe cannot exceed 35 feet in total length. Above-
grade vertical stacks constructed of plastic pipe may exceed 35 feet in total height only if an approved
expansion joint is used.
17. The PVC plastic pipe material to be used for the building sewer must meet one of the following
ASTM Standards: D3034, F789, D2665, or F891. The installation must comply with ASTM
Standard D2321 (see Minnesota Rules, part 4715.0530). The 6-inch building sewer must be installed with a
uniform slope of at least lI8-inch per foot.
NOTE(S):
1. The scope of this project consists of the construction of a new three suite building. The plumbing
installation includes optometry sinks, a lab sink, a breakroom sink, wall hydrants and the rough-in plumbing
for a future lavatory in Suite A. The plumbing installation in Suite B will include a water closet, a lavatory,
dental sinks, an x-ray sink, a sterilization sink, a breakroom sink, a dishwasher, wall hydrants, a lab sink,
and a clothes washer. Suite C will include water closets, lavatories, an electric water cooler, a janitors sink,
and a floor sink. Floor drains, a lower level sump and roof drains will also be installed.
2. This facility will be served by new municipal water and sewer service connections.
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:
~~cg
~ol~~~ckson~ ;?'
Public Health Engineer
Environmental Health Services Section
P.O. Box 64975
St. Paul, Minnesota 55164-0975
651/215-0839
CAE:sas
cc: Charles Novak Architect, Inc.
Nova Praha Leasing, Inc. /
Mr. Robert Hutchins, Plumbing Inspector ~
Culver Whitcomb
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CITY OF PRIOR LAKE
~tparfttttnf of ~uil~ing Jlnspttfion
!Final Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
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:
COMMERCIAL 04-0869
Use Classification Bldg. Permit No..
Occupancy Type
B
Type Construction
v
. Zoning District
C1
Legal Description
LOT 2. BLOCK 1. JAMES 1ST
Owner of Building.
Site Address
14120 COMMERCE AVENUE
Contractor's Name & Address K A WITT CONSTRYCTION, P.O. BOX 86, NEW PRAGUE 56071
Ro.BE.R'T' n HlJLCHIN~'. City Planner JANE KAN~nF.R
/ Building.}>fficial
Date:. / .2 a ~:A- /0 \ Date:
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
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INSPECTION NOTICE
ADDRESS
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, CrTY OF PRIOR LAKE
INSPECTION NOTICE
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INSPECTION NOTICE SCHEDULED
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
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INSPECTION NOTICE
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSItOTI
CITY OF PRIOR LAKE
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INSNOT!
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
(5)
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
(fV
SCHEDULED
ADDRESS Ic(l;20 ~~~~ c e
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PERMIT NO.
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o SEWER HOOKUP
. .E.,~~MBING FINAL
~H FINAL
;J;j,~
/ ,~
de
TIME
c::> "t' - r67'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~MM~TS: / . / /
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o WORK SATISFACTORY, PROCEED ~ J s- j e.V l..c.A4 /k.
o CORRECT ACTION AND PROCEED /
ftRRECT WORK, CALL FOR REINSPECTION BEFORE COVERI~ r-
Inspector: ~ Owner/Contr: '
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
(#s- no.
I Y!..,Zo C:r~~,,-C ~ ~L.
&~~ ~i'"'" CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...,Jiit1!fNAL
o SITE INSPECTION
l/ (t~
"'-. ~-
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
_5Yl'.LJ!.MBING FINAL
~CH FINAL
o Y- /6 9
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: . /
/liJ ~y' t..S; qu....{'. t-'-C)(.-I / d / ~ e/i.. " ~ ~
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/
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
/t CORRECT WORK~L tJR 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!
INSNOTl
ADDRESS ~~~~
(" ~l _ ('# //'
OWNER ., 'V J 1-e' D
PHONE NO.
CITY OF PRIOR LAKE
INSPECTION NOTICE
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CO~NTS:, /'
~ ce/v~ A
~s r ,ff;;.-
DATE TIME
SCHEDULED .~~:r-
~~ert!e ~e
CONTR.
PERMIT NO.
c:1.y- &7"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
9~R HOOKUP
~ ~_~~~.BING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o WORK SATISFACTORY, PROCEED
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o CORRECT WORK, CALL F R 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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
(!JJ
SCHEDULED
ADDRESS /~/~ c;~eVL~
OWNER "~II-c:; H CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
#s-
//-L-
TIME
~-Pb~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
_~OMMENTS: . _ . ;'
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/CORRECT ACTION AND PROCEED
o CORRECT W~~YFOR REINSPECTION BEFORE COVERING
Inspector: /R7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSliOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
@
SCHEDULED
;;;k :;"'
~~
ADDRESS / 'Y' / -20 CO~h ~ Ie ~
OWNER . ('\~ - / IW..........
~/ / e /T CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~TION
,...B'"'FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
dy-%?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~OM~NTS:I" .. i-
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/
o WORK SATISFACTORY, PROCEED ~/ C
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CA F 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~05~
ADDRESS .tl.l20
(~~t
OWNER
CONTR.
PHONE NO. PERMIT NO. <-/ - f2$tI;!
o FOOTING 0 PLUMBING RI 0 EX/GJDIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA TION ~EWER HOOKUP 0 FIREPLACE FINAL
o FINAL LUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
, COMMENTS: l, LAY~ t<uW '~1bP6
r~ t11T j /?N ~ . J .' . L_ '
~ I~~ PV.:t:>_ tf?N ~~
)t.~.~ tl~\JU-lGAlIOtJ t~()MtJ
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
Po CORRECT W,.,<. ~'~L FOR REINSPECTION BEFORE COVERING
Inspector: ~) Jd' Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
icfa/
ADDRESS
11) 2() CbMv.-<~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q- /()~ :6bPs
s - ~GRAD1FIL~~'""fI\
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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
o MECH FINAL
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
kR . CALL FOR REINSPECTION BEFORE COVERING
Inspe r' Owner/Contr:
C U98~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J '-{ t 20
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
,,~
(.,/
~ I L:vJ:~:
SCHEDULED
~
~
DATE TIME
~'
5-tlcOa
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~G""~N~IR ~
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~ ~~.~~ ~~c;..tr
Owner/Contr:
INSNOTl
,~
~-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~r
flV'
o WORK SATISFACTORY, PROCEED
~CORREC CTION AND PROCEED
o CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/f/I,20
a4';qt'/e.~ /4'v.e
OWNER
CONTR.
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
~LUMBING FINAL
o MECH FINAL
DATE TIME
~/or
., t:,..
M-f'h'9
,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/1 }, /." / .
hce/~d, r U4, \t'~ /_)~"p1;e
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o WORK SATISFACTORY, PROCEED
,~RECT ACTION AND PROCEED
/ C~RRECT ~~~~R ""l"SPECTlON BEFORE COVERING
Inspector: / j/l/ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J <I) 20
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
SCHEDULED ~~
C"::.:;::\
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COIIdWIENTS:
~~ks ~C/~
+est- $t)t-/~ R.L~
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3. ~k ~ ~t' Sfh' J.<k
;- ~ Ii \ <;..&- ~
TIME
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o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
X~
or- J {JC~ ~
~~
U
o WORK SATISFACTORY, PROCEED
o 'CORRECT ACTION AND PROCEED
TWO K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CAt.: - 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
* no,
\~( 'Ue ~~.~ ~2-
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: L4. ~,-tJA-(..... 5i-0c-U? C~~
-
o WORK SATISFACTORY, PROCEED
p:J:ORRECT ACTIO AN PROCEED
o CORRECT W ' REINSPECTIC)NBEFORE COVERING
Inspector: ~ner/Contr:
CALL 447.98';" .-v,,"'ft.n::: '''~ INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_011
_ (DA,TT. TIME
~ Z.~-:;o
ADDRESS {4\ZO COJV\~~c.e- \-\(~ ~~
OWNER ,1)z. ~~ CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
4-~6'
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~INAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
~ COMMENTS~~ r;~~ ~?~I~ R~ L-
2.. ~P<..6't"6- ?~otY\BI~ +;.~
"3. p~(,.tu. ~ t=~A..:.~~ F-l~5
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o WORK SATISFACTORY, PROCEED
............ --
o CORRECT ACTION D PROCE~
~ORRECT W9ft~. LL F r(cINSPECTION BEFORE COVERING
Inspector: fJ'J
. "-
CALL 447-9850 FOK I Mt:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
12. l=laJ\$", ~T...c....O.
INSNOTl
SCHEDULED ~~~
~~erce ~~,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)r'FlNAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
.--,
COMMENTS: '/i ,AjJl\J IN~_
l. ~~ ~L-r:S ~C>
(~~TA)'r..... -')(4.. l--h.....<<
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O.~. r-lo;",-fZ- \ ~__ 0... ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~/ ,.20
OWNER
CONTR.
PHONE NO.
PERMIT NO,
-2.
3.
4.
TIME
CJ~-~?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~.
lA.hLL ~TWl.c)
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECJ1,\,K-1\LL ~R REINSPECTION BEFORE COVERING
Inspector: N J~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
_lA~/ .. nMe~
~1/~
l +\1-0 /~JV1M~
~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4- .-~\
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
;e:....FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ~Oo$C Te:> 3/--2.4-(t9~ Gc::...r
() '--' \. r",,~~ ~~ Af- 'P.'. \J.
6/. fL.
,p
Move;-- (,.J
,
I~~PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
~J~
(.
(4-(2<' c~~ .A~
TIME
SCHEDULED
( { :eo
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO. "1-" ~ / 'ZJ 'Z-
1- - ~GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~<.~
- PASS
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION ~ MECH FINAL
COMMENTS: rlrz:::. F::H4c:.-
/~~ ~- F_ D"
~WORK SATISFACTORY, PROCEED
o CORRECTp,CT. 't$PROCEED
o CORRECT R, A L 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 & SAFETYI
lNSNon
~ DATE TIME
CITY OF PRIOR LAKE ///t/d-
INSPECTION NOTICE HEDULED
I '
ADDRESS /~/ YcJ /$~,h?~rL.e ~-t:-
OWNER CONTR.
PHONE NO. PERMIT NO. C1~-J>6?
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
lJ'll
~\~ ~ 1:. ~r\"\c.~ i"'- Q~~~
(\~;\r~y )t~ - t~l_ '1i-
AWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO C '11I0 K, CALL FOR REINSPECTION BEFORE COVERING
Ins
] Owner/Contr:
,CAL 7. 9Ss/FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\;;;;,.. / -.:;....-/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
(3)
SCHEDULED
DATE / TIME
/~//~S-
, Ir
ADDRESS
/(/~tJ U~~eree ~..e-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o J8UNDA nON
~~MING
;..JiHNSULA TION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
6"-~?
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: / , ,'" n . / " /
..R ~ ~ < I vt' J ~ ~P'-r r~,:- 6Trvcfi.~
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/
o WORK SATISFACTORY, PROCEEO C ~ It
~ORRECT ACTION AND PROCEED I
o CORRECT ~~' C'j}- FOR REINSPECTION BEFORE COVERING
Inspector: / ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
~y ) o~ trE TIME
~ED d~~-
, /
/y/~CJ ~~~/ce de
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
.A-'FRAMING
~ULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
c5~-r6;;
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORRECT ACTION AND PROCEED
o CORRECT WO"'C~ORJ REINSPECTION BEFORE COVERING
Inspector: /~ f./' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~*
/L//,-ZtJ ~~r~ e 4e
/~)
~EDULED
,
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Lt?~- ;:g?
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
.A:f'FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0_
COMMENTS: 4--T!'~ kG-e/~".." ~>-
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/
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/f/~O
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~DU~D
DATE
TIME
.,z/1As-'
I 'F
a/H/~~r'(", e #V.e,
CONTR.
PERMIT NO.
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o MECH RI
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o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
_OTl
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CITY OF PRIOR LAKE ~...
INSPECTION NOTICE SCHEDULED
ADDRESS
~
A-r ~ _-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
p'pLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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I
DATE TillE
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o FIREPLACE FINAL
o GASLlNE AIR TST
o
J!'.-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND OCEED
OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_OTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/~O~)
, ,
/#,2C/ C~~er~€' 4-~
CITY OF PRIOR LAKE
INSPECTION NOTICE
C?~~D
ADDRESS
OWNER
CONTR.
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
o MECH FINAL
DATE
TIME
CJY- %,9
o EXIGRADIFILLlNG
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COMMENTS: . _/
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Inspector: ) /' Owner/Contr:
/"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/;;~k~ME
, ~I
r:;;"'-~ej/ce ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
(~pJ
SCHEDULED
ADDRESS
/Y//~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
A!MNSULA TION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
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o SEWER HOOKUP
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o MECH FINAL
COMMENTS:
~fG9
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Inspector: ~/ ~Owner/Contr:
~ ......
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1/iSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
( ~,.;:) DATE TIME
SCHEDULED ~~~
a~Ate?~rCe A~,
ADDRESS
/L/),28
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH F~A7
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Inspector: /~ /- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
///s/W
,
~~e,-~~ Ate.
CITY OF PRIOR LAK(:1t)
INSPECTION NOTICE SCHEDULED
ADDRESS
/~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.~~~AL
~TE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
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o MECH FINAL
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Inspector: ~ Owner/Contr:
~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
/P
CITY OF PRIOR LAKE ~.
INSPECTION NOTICE SCHEDULED
ADDRESS
Irl.:2O G/'*?~e-YCC-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
rSrrE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
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o MECH FINAL
DATE TIME
/(Is~r
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Inspector: / t/V I' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
@
DATE
TIME
b!/;47
/~,2t) ~~~tU/c:.e ~~
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~MING
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o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
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o MECH FINAL
~ J>6?
o EXIGRADIFILLlNG
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COMMENTS:
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Inspector: /4/v Y Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
(#If) L~n)
SCHEDULED
ADDRESS
/ 1/..20 C;;h~ i!' ,-~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
~MING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
TIME
~<-
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Inspector: ~~ Owner/Contr:
" ,
CALL.. 447.~~~O FQ~ THE N~XT IN~PECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
(~v
SCHEDULED
DATE
TIME
/f/~/
/y /"zeJ ~~~e,.~ e. ~<-
ADDRESS
OWNER
PHONE NO.
o FOOTING
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CONTR.
PERMIT NO.
~UMBING RI
o MECH RI
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COMJIIE~TS: /
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Inspector: ./f:rl Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNon
OQ')
LV DATE nME
SCHEDULED ~~~
/9/-20 a~~erc ~ $-,<
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
~- ?6?
~UMBING RI
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o MECH FINAL
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CONIMEblTS: / /) /l J
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Inspector: ,~ Owner/Contr:
CALL 447.9850 F9R THE, Nt:X,T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
/~p-o/oy
c;~~rce 4rz
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cf~
CITY 01' PRIOR LAKE ~ ~
INSPECTION NOTICE SCHEDULED
ADDRESS
/~/,20
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~LUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
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o FINAL
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COMMENTS: _
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o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~R~;tLWR REINSPECTION BEFORE COVERING
Inspector: F t/ V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/Y/~(')
OWNER
PHONE NO.
o FOOTING
........a--..'" ",.mATION
o FRAMING
o INSULATION
o FINAL
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COMMENTS:
IJ_
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(:7)
~(;HEDULED
DATE nilE
/~~r'
~~~e~e A~
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PERMIT NO.
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~
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~ORK SATISFACTORY, PROCEED
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Inspector: ~ ..J.--... Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(il9 DATE TIME
CITY OF PRIOR LAKE /~I(
INSPECTION NOTICE SCHEDULED
ADDRESS /C/I~ r;;~~c.rce /Ie-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/ iY&?
o FOOTING
~DATION
o FRAMING
o INSULATION
o FINAL
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
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o MECH FINAL
o EXIGRAD/FILLlNG
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o FIREPLACE FINAL
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o
COMMENTS:
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Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE@
INSPECTION NOTICE SCHEDULED
ADDRESS
/rl ~O ~~~ce
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
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o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
..,..Jd"'WA TER HOOKUP
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o MECH FINAL
COMMENTS:
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DATE
TIME
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o EXIGRAD/FILLlNG
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o GASLlNE AIR TST
o
.t:ORK SATISFACTORY, PROCEED
~ ~ORRECT ACTION AND PROCEED
o CORRECT WORK,;''''' WREINSPECTION BEFORE COVERING
Inspector: ./$(1' Owner/Contr:
CALL 447-9850 FOR TH'= N~X.T IN~PECTlON 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKI ~ )
INSPECTION NOTIC~CHEDULED
ADDRESS /9'//0 U~~~rce
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
ArK //-3()sr hr~
/;l~/'ME
d~
or:- r?6 ?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/
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vi
lI'WORK SATISFACTORY, PROCEED
/;; CORRECT ACTION AND PROCEED
o CORRECT WORK, JJ-Y~EINSPECTION BEFORE COVERING
Inspector: ,/I~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE/( ~
INSPECTION NOTICE SCHEDULED
ADDRESS
/'I/-Z tJ}
OWNER
PHONE NO.
o FOOTING
~UNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~~1If'r~ f2...
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1L
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4-<-
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o CORRECT ACTION AND PROCEED
o CORRECT WORK,/ C'~pEINSPECTION BEFORE COVERING
Inspector: Y V' V Owner/Contr:
CALL 447-9850 FOR TH~ ~f-XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
Ill?}
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
DATE
/tJ7//~c/
i" ,
/L//;2tJ c;,~~e/ce /f'c;./~
nilE
ADDRESS
OWNER
PHONE NO.
CONTR.
PERMIT NO. C'r- 9'G 9
o FOOTING
~UNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS;--, ,/
K~~"'r
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
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~ORRECT ACTION AND PROCEED
o CORRECT WORK~CLYOR REINSPECTlON BEFORE COVERING
Inspector: Mr Owner/Contr:
CALL 447-9850 FOR, TH~ N~XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKJ ff; )
INSPECTION NOTIC~ SCHEDULED
ADDRESS / f/,20 GM'~ "."..~ ~
OWNER
CONTR.
PHONE NO.
~TING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
p~Y'
4c
CJ~-~9
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COM_MENT~: -" I
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o WORK SATISFACTORY, PROCEED t:...</( C
~ORRECT ACTION AND PROCEED
~'cORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
f4/~
,a#.?~~/C'e $e
CITY OF PRIOR LAKE
INSPECTION NOTICE
~HEDULED
ADDRESS
,/~.,zo
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
....en.IECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C7</- ,?6?
\
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT~ / j
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o WORK SATISFACTORY, PROCEED
D' CORRECT ACTION AND PROCEED
/ CORRECT wo~~' ~Y-rR REINSPECTlON BEFORE COVERING
Inspector. /~ Owner/Contr:
...
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
, C39' -I-
CITY OF PRIOR LAK r;:,2.q C ~/ /
INSPECTION NOTICE SCHEDULED
DATE
TIME
ADDRESS /L/~2() (6~~e,c e /;?te..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
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
O~~9
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Gj2J\IIMENTS: ~ .-'
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~ORRECT WO~ 7;~R REINSPECTION BEFORE COVERING
Inspector: / /t./'j,/ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
(~/) CcnfOATE TIME
~DULED /~~
/ ~/
/y/ ~ CJ C/#?M &rc-c: ~t!'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
w- h.:9
o PLUMBING RI
~HRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
, V"'"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_OTl
~--
/u~~iE rLe .#~
(r /~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ ~/.,2-0
e.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FSlNDA TION
~MING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
J1~-76.9
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE C!;9/ (~ ,,/y
INSPECTION NOTICE ~LED 1/...57 ~
, "
ADDRESS /r'/AJ a~~e"ce ;t;,e
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
L)~ - ?69'
o FOOTING
o .5)UNDA TION
~~MING
o INSULATION
o FINAL
o SITE INSPECTION
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 GASLlNE AIR TST
o
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Inspector: ~...---" Owner/Contr:
. -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
(-rr:y Gz,f DATE TIME
SCHEDULED ~~--
(;,p,h,t'/Ce d Q...
ADDRESS
/(1 ~O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t#" - J>~/7
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
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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./CORRECT WO~K.;~~OR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
J
/;C,..I,! 9"
../
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE L.!tI c;/l.- fr ~ ;'ATe; TillE
INSPECTION NOTICE SCHEDULED / L5~5-
/#.M ~~~~ 'Ae..
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c:v/ - a?
o FOOTING
o FOUNDATION
..c...":'r-"",IIIIING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, C~:L ~OYEINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
. ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
DATE TIME
/aA'J-
, 1/
r:;;/"'?~6-Ce k
CITY OF PRIOR LAKE
INSPECTION NOTICE
C::P
SCHEDULED
ADDRESS
/~/?()
OWNER
CONTR.
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
o MECH FINAL
COMMENTS:
o~-r%?'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o CORRECT ACTION AND PROCEED
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INVIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
f( ~J) DATE TIME
SCHEDULcu /~fts-
, ,
/#20 a/t#?~eyee de
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C3r/- J>69'
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
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/? I J,.'/ /J
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~ dur' -FG-./'" J... /' /
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~~';}? 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!
INSNOTl