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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5t3Z-/
Date Rec' d
I. White File
2. Pink City
3 Yellow AppliClm
I PERMIT NO._ /'~.- I
~s - uS
/;1..() cJ<:, T fl- i
ZONING (office use)
t5
.A- IV Gr
LEGAL DESCRIPTION (office use only)
/ ~ 2~
LOT BLOCK '- ADDITION DEU~(~ {,./p. r'tC-. PID~S, +-t-7 . VcJ]. ()
OWNER
(Name) {O/}57{;rJ(. II (Phone) q5;(~;?rfl/-99S /
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
It I11C-cr7U
\/ :::/[~/7/ I VI /,.bP~ L . '1M't~ (Phone
:&'M /JCTC7Ll~ /"-C7-6/t':J, /90-o/;?Jt/
TYPE OF WORK New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
O~ion OAlteration OUtility Connection 0 Misc.
CODE: OI.R.C. !2fi.B,C. Ll PROJECTCOSTlVALUE S SSCJ i GOO
Type ofConstnlction: /.:), I l!V' ill IV V A B (excluding land)
Occupancy Group: A ~ E F HIM R S U
Division: 1 2 3 4 5
x
I ht'feby certify Ihat I have furnished information on Ihis application which is to the best of my knowledge true and correct. J also certify that I am the owner or authonzed agent for Ihe
above-menuoned pro rty and that aU construction will conform to all existing slate and local laws and will proceed in accordance wilh submitted plans. I am aware that the building
official can rev t' permit for j ca e. Furthermore, I hereby agree that the city official or a designee may enter upon Ihe property to perform needed mspectlOns.
1)-0/-0 q .
Date '
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~.
Contractor's License No.
1
$
S
$
$
$
$
$
$
Sewer/Water Connection Fee I~;# .
Water Tower Fee /ta?t:J# Z,
Builder's Deposit
Other
Park Support Fee
SAC
Water Meter
J f86L ...
Z C().. -
Pressure Reducer
q
ThIS 15 to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requc'Sted. This document
when sipcd by the City Planner consl1tutcs a temporary Certificale of Zoning compliance and allows construction commen e. Before occupancy, a Certificate of Occupancy must be
. C~,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ 6:>5- OS-
PERMIT NO. 05-. () 13
Date Rec' d
White File
Pink City
Yellow Applicant
b~Z
Lrwc-
~/I1'VS
. N. ,o/lL-5
ZONING (office use)
C5
LEGAL DESCRlPTION (office use only)
LOT J BLOCK 2- ADDITION D66ePI
2. tJ.f)
PID Z5. 4-"L 7. 003.0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) 1" 3 .. tp...+-L.C:.1-~
(Phone)..bAl 11,~s~ 7~ 3 -1'2. f' 2<:-
X!3
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. [!If.B. C.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrmshed Information on this application which is to the best of my knowledge true and colTec!. I also certify that I am the owner or authoflzed agent for the
above-mentlOned plOpelty and thatJill conSl1UctlOn Will conform to all eXistIng state and local laws and wIll plOceed In accordance wah submItted plans I am aware that the buIldIng
"niClal can revoke thiS pelma for J.IISt cause Flllthelmore. I heleby agree that the CIty offiCIal or a designee may enter upon the plOpeny to pel form needed Inspections
X . )~t// ./'"'/-- ~jl()ll.5
I ~. ~Slgnature Contractor's LIcense No · /Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
'I $ Seo. 00
II $ 7.5:0
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
37~.OO
Z . ..1lrS
I ~;p: -ff3f1(2fp
ThIS IS to certify that the request In the above application and accompanying documents is in accordance with the City loning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of lonIng compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy mllst be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
5. 17o.s:-
rl t-e:- Iv' -II CJ5-' 0/ OS
l. Pink File
2. Green City PERMIT NO. OS: ()44-.
3. Yellow Applicant
ADDRESS
?S2J
ZONING (office
use) (;,5
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 2 ADDITION OCE:nF/6-z..o /#.t:). 2/;;'/.0 rroOA./ PID 25. 427, 003 0
OWNER
(Name)
~/lJ 'f
(
-1
PJ#.I_<;;
(Phone)
(Address)
582/
L ~15
APPLlCAN1 I
(Name) K/ffeU'9-tV ~ Q4.u )~ c32l, I A.J~ _
(Phone) Cj5L -e~V -56:. s-y'
(Address)
'8 '72 - /LI'..!:- ~,_ s:
(Address)
SS'lZj
(Zip Code)
(Contact Person) U--t1f:::;&~1 (Phone) 9s-z.. .~SV ~)6CJ'y
APPLICANT SIGNATURE ~~ DATE
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
$39.50
-fIREPLACE MAKE AND MODEt.
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 2. ( ~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
l'
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
$ :s<::{'. s--a
$ .50
$ 'f6 -=-
This
Paid 4-0. 0 cJ
DateS. /&. O.s-
Receipt NO-4<? 304-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r '7 oS'
V.,t;;...
5'fJ8--1
- I c1c..e 6-t7ioJ:.. toft
1. White File
2_ Pink City
3. Yellow Applicant
hGC wi ..-05-.0100-
I PERMIT NO. as. tJ 54-~ I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER ~
(Name) f4u j
(Address)
C2"l cI j) (t 1$
I
OJ-
f
PID Z5". 42..7. (){)3 .0
RI' .~;or+
.
(Phone)
BUILDER.
(Name)
(Contact Name)
(Address)
JULT
Dc..wcl
)-€CUt't~
U 4Nk~'-'\..
S'Qt\J\C-Q.$
(Phone) ~l ... <j7/~ C>~O
(Phone)
TYPE OF WORK
o New Construction
o Deck o Porch ORe-Roofing
o Fireplace )dAddition OAlteration
PRomCf COSTlY ALUE (excluding land) S
OUtility Connection
ORe-Siding
c:o
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 ~ent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sUbmittedJ'fahs. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
7"'''' jw":7d:;-"'" TSCJOD(9./ 5'/CC(QS-
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $ I{) ~ 00
Plan Check Fee $ 00cYS-
State Surcharge $ 2uv
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 17/,9S-
Paid /7/.9s
Date (" . i..? C' _<:-'
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
3.22.05
I Green File
2 Yellow City
3_ Gold Applicant
!'It.-.c fA/. 05.0105
PERMIT N . ~5 02 (.23
5621
/ i1/0t/ J 77~':'-f n L L-;V:' J I..~-
ZONING (office use)
e,~
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2-- ADDITION OtTk
11'/9 /'/c._ 2',,?
PID Z:>- 4-2
OWNER
(Name)
;:::'./1 IV s .' 1//tZ-I
(Phone)
(Address)
5)L:h'>7 E
(Address)
(City)
(Zip Code)
APPLICANT .-' , /'
(Name) ~. LJ, L~ E LcJ.<1Sr. ::I'll ( .
(Address) L J ~33 K.QJSI c. ).J
~ (Address)
(Contact Person) 5 t3V~ LeEtE
APPLICANT SIGNATURE
(Phone)(QS'J..)93l- J-L!7t'
(5() 6V ::: ~\1.(,1 0- '3 't
(City) :t: 'f ,(Zip Code)
(Phone) tfbll}~5- ~bjl
DATE:J--?7.-0S
APPLICANT PLEASE COMPLETE BELOW
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.
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
t 5: 86U ~l Building Permit # 05 () 2..03
/
Residential sewer and water line connection
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
/.58.00
.50
/;:;- Fs. 50 E,O
C~IiL
.lieu
/.r
0',;)
~3'
,}b
(Office Use Only)
This Application Becomes Your Building Permit When Approved
07 (? 'J /<... ""t../ () ~-
Date
Paid /56. 57..)
Date,? 7..1. (,r.:-
......Y. <'."r. /.J
Receipt No. /r 00' /~
0/". {/ ('((' U /
By /?-t'~'Z_
24 hour notice for all inspectio 9,S.~)~(952) 447-4245
"
CITY OF PRIOR LAKE
J ... I CITY-OF PRIOR LAKE 9524474245 vat: j';:~l
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
JlLjO U,r .j~N '2, ~ 'lGGS .
1;) WI OS. oloST
T NO. 05:..-o1b~
I. Pink 'ile
~. er- city
3. YoIIow Applitllll
ZONING (onice use)
~5
562/ /NDU5TIU;::1L- Ll7N6
v
LEGAL DESCRIY1'ION (ofti~ use o1tly)
/r;-
LOT' BLOCK "2 ADDmON r eUQ
I::: fYA0/) j jcJAlf
~;;~~ANT AI Ill\/' /-? let: 4 M / t/ ~ /
(Address) 1 (1)J ;:-L-t /1/~"1 /2' f.'A ~)
, / (Address)
(Contact Person) . ;) .?A?t r.- M'/./', t-A
APPLICANT SIGNA;URE/-:7~/2 e------
PlD 'Z-S-. d- 2-1. 0 03. 0
(Phone)
(phone) PI l 7_5 '1'1 777
E;y/~ //>;-/r'</7.~/rrIYy
(City)' (Zip Code)
(phone) ~.J///') e-.
DATE ~ / //j'/6r- ~
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION .. 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL f// ./r? a~./ FUEL
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
. o Warm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
PLEASE NOTE:.
Air Conditionet Units
Cannot Encroach into
Required Side Yard
Setbacks
':>
FIREPLACE MAKE AND MODEL
Residential. Heating & AlC (New ConstNction)
Rcsidential. Heating Only (New Construction)
FEE SCHEDULE
1 % of job coSt Residential, Gas FIreplace
$39.50 minimum
$99.50 Residential, Additions &, Alterations
564.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost S Z {; I [; D V
(
Building Permit # 0 5". 0/(; e
HEATING PERMIT FEE $ 2 c C). () (/
STATESURCHARGE ~ .50
TOT~ PERMIT FEE S l- 06) ~ ~
tng Permit W en Paidz,.oo s-V
I
Date...
.s 2-.0 S-
or IIl1lnspeetlol1$ (952) 447-9850, fu (952) 447..42.45
"'...-_ T ftl'ft UN oll-:'\7?
ReceiptNO'~g D2(P
By
TOTAL P.01
~U/U'/U~ MUN 11:55 FAX 6124474245
CITY OF PRIOR LAKE
l4J 001
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1-. /4-.05
5821 Industrial Blve.
I, While Fil.
2. pi"" City
J. V.IIo", Appli.....
~/t-6 /N ~5 OIOS
r PERMIT NO. 0 S- _ 034'1 I
ZONING (ol!lce~)
&5
LEGAL DESCRIPTION (offie~ use only)
LOT. / BLOCK 2 ADDmON Oe::6/c://O/o //1/0. r~. 2 ",'0
PID 25. 4-27, 0030
IOWNER
(Name)
(Address)
(phone)
/
I
BUILDER
(Name)
(Contact Name)
(Address)
Sentry Fire Protection, Inc,
(Phone)
(Phone)
763-658-4483
John Weber
4439 Hwy 12 S.W., Box 69, Waverly, MN 55390
TYPE OF WORK
rnI New ConStruction
OLower Level Finish
D Misc,
ODeclc
D Fireplace
OPorch
DAddition
ORe-Roofing
ORe-Siding
OUlility Conn<<tion
DAttaation
PROJECT COST/VALUE (excluding land) S 16.340.00
I bereby c:cnify that I have furnished information on this application which is [0 the be3t of my Im.owledge trU~ and correct. I also certify that I am the owner or
authorized agent for the above-mentioned propertY IJI.d that all COntlrUcaon will conform to all existing state and local laws and will proeeed in accord3nce with
submitted plarol. I am aware that the building official can revoke this permit for just cause. Furrhe:rmote, I hereby agree that the city official or a designee nay
enter upon the propmy to perform needed inspections.
W~<-/ :1. k/ ~
,.. , Signature
x
COOl
4-13.,.05
Contraaor's License No,
PemUr Valuation
Pennit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee $
Gas Pireplace Permit Pee S
Date
Park Suppon Fee # S
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Pee # S
Water Tower Fee . , # S
Builder's Deposit $
Other $
TOTAL DUE (!?ntt;.'"l> ~'. 1- 'i. t' ~ $ 4-1 ~.. B4-
~''4 if r--
-?,4.(,'~
9/7()
This is (0 c:mify mu che request in lhc: abcwe application and accompanying documcnlS Is In accordancc wldllhe City Zonio, OrdizWIl% ;md /rIay procttd as requatl!d. This document
when .flned by lIIe City P1aMer connitvlCS a lempOrary Ccnilitalc of Zoning compliance Iftd alIQWJ consll'Uction to commence. adore OCCUPID'Y. a .Cmi.licare of Oct:upmcy mull be
Wucd.
'D1:1""i"G n,r,.(":tnr
Date
Special Conditions, ifany
FEB-01-2005 14:22
CITY OF PRIOR LAKE
9524474245
P.0U01
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
Z. .~, oS-
I Bluo Pile
2 Gold C:IY
,) V~lIcw ApplilW.:1nt
-s eG- c:.:5- - /OS-
L!ERMIT NO. ~6. 6/031
5"~],. / 1/11 NS TT'-f+-- 7V E
~Jt i/- c~'{c~ ,~~
ZONING (office use)
LEGAL DESCRIPTION (offic~ use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PIDZS-. +1.7,003. 0
A~iCsN
(Phone)
(Address)
APPLICANT) ";J . /
(Name) ,A)-- 2CJr:< /L ( I t" //J;[ (,f "'CC?
C / / '7:;>' C '. J
(Address) 1 u ,.Pt.J. [,..., A c
(Address)
(l . ^
(Contact Person) t\ lAC?~.?2L-C:~>(/'€~J''--
Y A ;.~
APPLICANT SIGNATURE .' 1 C . .
(Phone)
'I t /1 . ,/,) c; - I)) (t'" 'I t-
"J .
.; ti <:: IL.
') "
tiJ..l ! t- t.c.. < i. '>1-'
(City)
(Phone)
7 -,
I I "-:'
[".y
~))hl ' 5s <.:.. r
(Zip Code)
1)) <( [}!,. 'I (- ,,{ / ,1
.!J/1/~5
(./
DATE
Quantity Type of Fixture Quantjty Type of Fixture
, Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
') Floor Drain Water Softner
c) Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 Or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
, Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) I Other \,1, ",'t7<:: ('1nr:?--z:
APPLICANT PLEASE COMPLETE BELOW
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 $ / ~ S (X'/' ()
Building Permir #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
)iI6rC('j
.50
; (j..5 ..-5 0
'...
Paid &L'~)lJ
170,::;)
Dat~. C {IS-
2..7.
Receipt No 4--gh 97
By
24 hour nf)rice for all inspectioR$ (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
TOTAL P.01
White - Building
Canary - Engineering
Pink - Planning
Th(' ("tn1er of 'he Lake Counlr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
A~ic:;oJ PA....,S i t4LS
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
5137-/ I IV ,/Us r f2-)/tt... LAN G-
Accepted
\,/
Accepted With Corrections
Denied
etJtI
Date:
( ~ /DS
Reviewed By:
Comments: I. Sc~n= ~ 115 RBPu/L,f{) Fr:*. t/Vltc.r P'-"'1/3/NC> " n~
5~ ~ S7.sn::m, S'~/N/~'1:J-~L) EL~~ .
L. ?l2-oVll>e- MD~~~ \)tAw,~S"
3. f~VtV6- bo~~.,..J 6N ~~~ INWec.sr(~-:s~
4. LVA<-", T'Hft.V ~ ~--9CP Fo(2.. h~ ?~ eF- Fft'Uf ~NU~
S" ~ UJItT6/L- ~s f'J€:6D,~ ~ 1>-v~~~ - ~
~NC;~,- hQb- 'b~1-. La:-\L ~y
"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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ----.ll DT Sew n~
APPLICATION RECEIVED ~ - 2. - 6 f.J
5~v'('c~ ~
-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
68 21 ~&.U)~~ ~(v~
Accepted
Accepted With Corrections ~
Denied ~
Reviewed By: m f;; __
Comments:
Date:
J, 111~ S~ /,K()srlo.e- ~
~r-
,',^- ~ ~PI'?J~
""-,
"
',-
2. 11/41"" Qkl( k 411&i..h\~ \.l......,.~ O<l~ ~ l.ooiIJ..~
'? - llA. k,'o r a.( 6.3- ~S' ~ \ l ~ s-h-oto~
"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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~.
Denied
Reviewed By:
Date:
Comments:
I.
.'. I 1 ,
.'
"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."
'. ---~ - ,- "-'=-'-"'"~-"- ~ -".,-~~-~ "",,' - "
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS S~z. LI~s~w- ~
NATURE OF WORK ~s -:- ~ tJ~
USE OF BUILDING , Ie- No..v i l
PERMIT NO. pS - 1.95 DATE ISSUED {-'?II""'~
CONTRACTOR ~t1c.oN PHON ~l.~I."~~ f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
IN~PECTOR ~ DATE,
I FOOTING [ II, h f. 3/:21(05/
· FOUNDATION (Prior to Backfill) .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
L.-,
GAS LINE AIR TEST
//?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/-S-PIL\1J (L u::: ~ [ I 1
FINALS
GRADING (Prior to Sodding)
BUILDI~G . c: a u~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTION~ rQS2) 447-9850
'"
<tIrrfifitnfr llf @ttUpnlltJJ
CITY OF PRIOR LAKE
~rpctrf1ttruf nf ~uilniug J1usprrfinu
o Final Permitted Iconditional CO. Expires ~~~
This Certificate issued pursuant to the requirements oj" Section II() oj" the I I Residential / [] International
Building Code cert(fying that at the time oj" issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating huildillR cOI/structhm or use. For the/ollowing:
COMMERCIAL 05-0105
Use Classification '__'___ Bldg. Pcrmit No.
Occupancy Type
Type Construction______~_ Zoning District
L1, B2, DEERFIELD INDUSTRIAL PARK 2ND ADDITION
5821 INDUSTRIAL LANE
C5
Legal Description
Owncr of Building
AMCON, 1715 YANKEE DOODLE RD., EAGAN, MN 55121
Contractor's Name & Address A
ROBERT D. HUTCHINS~ . CityPlanncr___~~~~~~~~ER~___
bp-p~Cial
Site Address
Date:
Date:
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Field Engineering, Inc.
WATER ANALYSIS
7608 I I 9th Lane North - Champlin, Minnesota 55316
Telephone: 763-427-0826
FED. ID # 411443773
22 June 2005
To: BREDAHL PLUMBINd
7916 73rd AVE N
BROOKLYN PARK, MN
c/o KEVIN DAVIS
Test #:
Time:
From:
Date drawn:
Date tested:
Unique #:
115051
1:00 PM
Lavatory
20 June 2005
21 June 2005
Brought In
55428
RE: Water test at: 5821 Indrustrial Ln; Prior Lake, MN
Owner: Paws & Pals Pet Resort
Field Engineering personnel in conjunction with TCWC tested the
water that was drawn by Kevin Davis at the above address
and the results were as follows:
Test
Maximum limit
Result
Nitrate Nitrogen-per Electrode Method
Coliform Bacteria-per MF Method
less than 10.0 mg/l
o per 100 ml
less than 1 mg/l
o per 100 ml
This water DOES meet state, FHA, VA, and U.S.P.H.S. specifications for
the tests listed above. Twin City Water Clinic, cert# 027-053-119 is
authorized to perform these tests by the Minnesota Department of Health.
o
Olympic
Wall Systems, Inc.
AN EOUAL OPPORTUNITY EMPLOYER
2823 Hedberg Drive
Minnetonka, Minnesota 55305
Telephone: (952) 546-8166
Fax: (952) 544-8869
www.olympicwall.com
TRANSMITTAL
DATE: 13-Apr-05
TO: AMCON
ATTN: NANCY WOLF
FROM: RICK MONDRY
PAGES (including cover):
I
RECEIVED
APR 1 4 2005
21
RE:
PAWS AND PALS EIFS ERS REPORT
Nancy.
Your job superintendent at Paws and Pals asked me to send this to
your attention.
Please call with any questions. Thank You
Rick Mondry .A "
~k~~
-- - -" -- /
Project Manager
MESSAGE
NOTE TO FAX OPERA TOR: Please deliver this fax to the above addressee. If you did not
receive all of the pages in good condition, please advise at your earliest convenience. Thank you.
. .
Ii
LUTZ COMPANY
www.lutzcompany.com
~
,
8801 Xylon Avenue North
Brooklyn Park, MN 55445
.
763-315-5886
763-315-5891 (fax)
January 13, 2005
Mr. Rick Mondry
Olympic Wall Systems
2823 Hedberg Drive
Minnetonka, MN 55305
Dear Rick:
I am writing to confirm our recent phone conversation regarding the use of
Dryvit's Outsulation System on commercial construction projects. Since we
spoke, I talked with I.J. Valainis in Dryvit Systems, Inc.'s Technical Services
Department regarding the IBC code interpretation about the use of air barriers on
exterior walls. I.J. stated that Dryvit's Outsulation System (without drainage)
meets the exception referred to in the code language under Chapter 14 I Exterior
Walls (see enclosure). I've also enclosed the ESR-1232 Report, which IBC has
approved for the exception. Note that the details in ESR-1232 must be followed
in the application process to meet the IBC code exception.
Please let me know if you have any questions.
~eJY'-I:;
a:ctz
Enclosures
~
Dryvit Systems and Finishes
.
Venetian Plasters
.
Drywall and Plaster Accessories
FiX Note
7671
~
'T'''' t.&.IT~
CoJOepr Co.
"C.;I...... " .,.....
CHAPTER 14
EXTERIOR WALLS
SECTION 1401
GENERAL
1401.1 Scope. The provisions of this chipter shall e.~~bli~h
the ~rUl"nUm requiremc:nt~ for clttcnor walls, ~x.t~or wall
cove~,ng.s. exterior wall openings, exterior window~ lUld
doors. architectunl trim. balconies and bay windows.
SECTION 1402
DEFINITIONS
1402.1 General. The following words illld tcrms shall, for rhe
pu rposes of this chapter and as used elsewhere in this code,
h.. ve :he meanings shown hcrein.
ADHERED MASONRY VENEER. Veneer secured and
,upixmcd Lhmugh the adhe~ion of an appruvC<! bonuing
m.:u:rial ~pplieJ lO an approved hackin{;.
ALl'MIN\.JM COMPOSITI!: MATERIAL (ACM). A fac-
COr;,'.manufacrured panel cOllsistin~ of aluminum slcins bond-
ed to bolt! faces of a pl<sstic core.
AIXMlNUM COMPOSITE:: M~TER[AL (ACM) SYS-
TEM. An exterior wall finish system fabrie1led u.~ing ACM
in a specific assembly including joinfs. $eams, attachments,
sllbsl~;:l(t. rr~ming and other detail~ as appropriate (0 a par-
ticular design.
A~CHORED MASONRY VENEER. Veneer secured wilt! ~
apprc""ed mechanical faSlcneT~ to an !tppTov~d backing. ~
BACKING. The wall or surface to which the veneer is
secured.
EXTERIOR WALL. A Wall, bearing or "onhearing, that i~
used as an ~nclosing wall for a huilding, othcr than 3 fire
\4':1.11, ;tnd that has a slope of 60 degrees (1.0j rad) or &relter
with the horiz.ontal plane.
EXTERIOR WALL COVERING. A mltlcrial Or assembly
or materials applied on the eXferior side of exterior walls for
the purpose of providing a weaLher-rcslsting bamer, insula-
tion or for oesthetics. jncllldiu~ bUI 1101 limil.ed to, veneers.
sioing. exterior insulaliun and Iinil'h systcm.~. architeclural
trim and embellishments such as cornices. soffits, facias. gUl-
leTS C'.l".d leadcr~
EXTERIOR WALL ENVELOPE. A system or assembly of
extt~lor wall components, including e;uerior wall finj~h.
2O()O INTERNATIONAL BUILOING COOEr>>
materials, thm provide prorection of the building strUct"llral
members. inc)lIdin~ fr2min~ ;lnd ~hcalhing malerials, and
conditioned interior space, from the detrimental effects ot thc
exterior environmcnt.
VENEER. A facing attal:l1ed to a ',l.'all for the purpose of pro-
viding Onlllmentation, protecrion. or insulation, but not
counted a.~ adding ~trcngth lU lhe wall.
SECTION 1403
PERFOAMANCE REOUIREMENTS
-
1403.J \..eneral. The rTo\'ision~ of Ihis seclion stull! apply 10
exterior walls. wall coverings and compOnents thereof.
1403.2 Weather protection. Ext~rior walls shaH provide (he
huilding wilh a weather re.~i.~tant exterior W:ll! envelope. The
~Jtterior wall envelop~ shall include thshing. described in
Section 1405.3. The exterior wall envelope 5h:lll be de~igned
anu COlIslruCl..."Il in such II mMller as tv pr~vl.:nt lhe llccumu-
larion of warer wirhin the wall a.~5emhly hy providing :\
water-resistive barrier behind the exterior veom. as
aescribed In SeCtion 1404.2 and a means for draining Water
that enters The assembly to the e:lttecio( of the veneoer, UllleS$
it is determined that penetration of water behind the veneer
shall nOl be detrimental to the building p~rformance.
Protection against condens:nioo in the exterior w;ill assembly
~hlsll be provided in lK.'l:UrUllnt;c with thl.: 1r:~rTI/J'iurw.1
Ertt!rgy COflsuvariofl Cod~.
Exceptions:
t. A ....eather.resistant el(tenor ....,al! envelope shall nOl
be required over concrete Or masonry IIoIAlIs
uc~igncu in accordance Wilh Chapter 19 and
Chapter 21. respectively.
2. Compliance wirh the requirements foe a means of
drainage, ano the n:quin:mcn~ of Sc~tion 1405.2
lUld Section 140.5.3, shall not be required for an
exterior wall envelope thaI has been demonstrated
to re$lst wind-driven ~n through tening of the
exterior wllll envelope, inchlding juin~, penclra-
tions and interseCTions wirh dissimil;lr mllterial5. in
accordance with ASTM E 331 under the following
conclirions:
2.1. F-llteriOt W:I.\J envelope ~t 3.S$emblic.\ shall
inclucJc al IClIj( one opening, one COlltrol
Joint, one lIoIallieave interfa.ce lineS one wall
sill. All Ie.~ted openings il!1d pcncl1alions
shall be represenrarive of the intended end.
use configurario:l
2S5
.'
~
~ REPORTTM
~
. -....
,
ESR-1232
Issued July 1, 2004
This report is subject to re-examination in one year.
lee Evaluation Service, Inc.
www.icc-es.org
~ Otllce · 5360 Wor1ala1 MI Road. Whk, Cai't:mia 00601 . (562) 699-0543
Regional 0tI'Ic:e · 900 Monldair Road, Suite A. Birmingham, Alabama 35213 . (205) 599-9800
R.gionaJ 0tIIce · 4051 West FIossmoor Road, Country CkJb HiDs. llinois 60478 . (708) 799-2305
DIVISION: 07-THERMAL AND MOISTURE PROTECTION
Section: 07240-Exterior Insulation and Finish Systems
REPORT HOLDER:
DRYVIT SYSTEMS, INC.
ONE ENERGY WAY
POST OFFICE BOX 1014
WEST WARWICK, RHODE ISLAND 02893
www.drvvitcom
EVALUATION SUBJECT:
DRYVIT OUTSULATION EXTERIOR INSULATION AND
FINISH SYSTEM
1.0 EVALUATION SCOPE
)
Compliance with the following codes:
· 2000 International Building Code- (IBC)
· BOCA- National Bui/ding Code/1999 (BNBC)
· 1999 Standard Building Codeo (SBC)
· 1997 Uniform Building Code 'Ill (UBC)
Properties evaluated:
· Weather resistance
· Wind load resistance
· Noncombustible construction
· Fire-resistance-rated construction
2.0 USES
The Dryvit Outsulation system is an exterior wall covering as
required by Chapter 14 of the applicable code. The system is
recogniZed for application to building construction other than
framed walls of Type V, Group R3 or R4. Occupancies under
the IBC; other than framed walls ofTypa V, Group R-1. R-2,
R-3 or R-4, Occupancies under the BNBC; other than framed
walls of Type VI, Group R1 and R2, Occupancies under the
SBC; and other than framed walls ofTypa V, Group R1 orR3,
Occupancies under the UBe. The system is not recognized
for use under the 2000 International Residential Code- (lRC).
3.0 DESCRIPTION
3.1 General:
The Dryvit Outsulation system is a five-component system
that may be applied to vertical substrates of masonry;
concrete; exterior plaster; unpainted, exterior or Exposure 1
wood structural panels complying with DOC PS-1 or PS-2
(UBC Standard 23-2 or 23-3); water-resistant core gypsum
sheathing complying with ASTM C 79; or Dens-Glass Gold
(ER-4305). The five components include an adhesive, a
molded expanded polystyrene insulation board, a woven
glass fiber fabric, a base coat, and a synthetic plaster finish.
See Figure 1 for typical installation details.
The products recognized in this report were formerly
recognized in ICC-ES legacy reports ER-2728, 22-00 and
941768.
3.2 Materials:
3.2.1 Dryvit Adhesives: The Dryvit adhesives consist of
one of the following materials applied to the inside surface of
the insulation board:
1. Dryvit ADEPS adhesive: Dryvit ADEPS adhesive is a
premiXed, fully formulated, water-based acrylic copolymer.
Shelf life of the product is two years when the product is
stored in a cool, dry location.
2. Dryvit Primus/adhesive: The Dryvit Primus/adhesive is a
copolymer dispersion with a Quartz sand aggregate that is
mixed with Type I portland cement complying with ASTM
C 150. Shelf life of the product is two years when the
product is stored in a cool, dry location.
3. Dryvit Genesis adhesive: The Dryvit Genesis adhesive is
a fiber-reinforced. 100 percent acrylic-based product that
is mixed with Type I portland cement complying with
ASTM C 150. Shelf life of the product is two years when
the product is stored at 40.F (4.5.C) or above in tightly
sealed containers out of direct sunlight
3.2.2 Insulation Board: Insulation board shall be molded,
rigid expanded pOlystyrene insulation board having a nominal
density of 1 pound per cubic foot (16 kg/m3), and a flame-
spread index not exceeding 25 and smoke-density index not
exceeding 450 when tested in accordance with ASTM E 84.
The boards Shall have a thickness ranging from 3/. inch (19.1
mm) to 4 inches (102 mm), and have a maximum width of 24
inches (610 mm) and maximum length of 4 feet (1219 mm).
Sources include:
1. Dryvit Outsulation, a Type I product complying with ASTM
C 578-01.
2. Type WSG, by AFM Corporation (NER-551).
3. Type EWG, by Falcon Foam (ER-4059).
In jurisdictions enforcing the IBC, the following dimensional
limitations for the foam plastic formed shapes shall be
observed:
1. Percentage of wall area covered by the foam plastic
formed Shape shall not be greater than 15 percent.
2. Combustible content of the foam plastic in any 20-sQuare-
foot area shalf not exceed an average potential heat
content of 6,000 BluItt" (68.2 MJ/m2) of wall surface area.
3. Total foam plastic thickness shalf not exceed 12 inches
(305 mm) at any point, including the thickness of the wall
insulation.
$ REPORTS- are nOllo be cOflSl"".d as repr....nling a...,h.ria or any other aariblll... nOI specifically addr...sed, nor are IMy 10 b. COIUInIed as an .ndors.m.nt oflh. subj<<1
of Ih. report or a recomm.ndalion for its ",., Ther. is no ""U7'Clnty by Ice Eva/_on Servic.. Inc.. upr...s or impli.d. as 10 any finding or other mailer in Ihis report. or as 10 any
product covered by Ih. report.
COPyright CI 2004
Page 1 of 11
Page 2 of 18
ESR-1232
,-=-..,
\
I
4. Vertical bands shall not exceed 8 feet (2438 mm) in height
or 2 feet (610 mm) in width.
5. In shapes containing more than cne segment of foam
plastic, each segment shall be limited to a maximum
length of 4 feet (1219 mm) and a maximum width of 2 feet
(610 mm).
3.2.3 Dryvit Base Coat: The Dryvit :,ase coat consists of
one of the following base materials applied to the outside
surface of the insulation board:
1. Primusladhesive mixture, which consists of
Primusladhesive mixed at a ratio of 1:1 by weight with
Type I portland cement Up to 8 fluid ounces (0.24 L) of
water may be added to 5 gallons (18.9 L) of base coat to
enhance the workability.
2. NCB base coat, which is a fully formulated, water-based
product applied without the addition of portland cement.
Shelf life of the product is two years when the product is
stored in a cool, dry location.
3. Dryvit Genesis base coat applied after mixing with Type I
or Type" portland cement complying with ASTM C 150 at
a ratio of 1: 1 by weight. Up to 8 fluid ounces (0.24 L) of
water may be added to 5 gallons (18.9 L) of base coat to
enhance the workability.
3.2.4 Dryvit Reinforcing Fabric: The Dryvit reinforcing
fabric is a balanced open-weave glass fiber, made from
twisted multiend strands and treated for compatibility with the
other materials. The mesh weighs a minimum of 4.3 ounces
per square yard (51 g/m2), with a 12-by-6 thread count. The
mesh shall be installed vertically or horizontally.
3.2.5 Dryvit Finish: The Dryvit finish is composed of natural
mineral aggregates and fillers, colored pigments and an
acrylic latex emulsion. Shelf life of the product is two years
when the product is stored at 40'F (4.4'C) or above.
3.2.6 Sealants: Sealants shall be compatible with the EIFS
components and be recommended by Dryvit Systems, Inc.
Evidence shall be submitted to the building official showing
that the EIFS manufacturer-recommended sealant is a Type
S or M, minimum Grade NS, minimum Class 25 and Use 0
sealant complying with ASTM C 920. Under the Use 0
classification, the sealant shall be qualified for each material
to which the sealant is applied. The details for sealant
installation, including the width and thickness of the sealant,
shall be designed by the registered design professional,
designer, builder or Dryvit Systems, Inc., in that order, to the
satisfaction of the building official.
3.2.7 Dryvit Flashing Tape: Dryvit Aashing Tape is a self-
adhering sheet-type membrane complying with the ICC-ES
Acceptance Criteria for Flashing Materials (AC148) for use as
flashing on window and door penetrations. The flashing
membrane is 0.027 inch (0.68 mm) thick and is available in
75-foot-long (22860 mm) rolls with widths of 4,6,9 and 12
inches (102,152,229 and 305 mm). The membrane shall not
be left permanently exposed to sunlight.
4.0 INSTALLATION
4.1 General:
All exposed edges of insulation board shall be wrapped with
the reinforcing mesh fully embedded in the base coat.
Sealants shall be installed as described in Section 3.2.6 of
this report.
For jurisdictions enforcing the IBC or BNBC, the following
requirements shall be met:
1. Flashing shall be installed in accordance with IBC Section
1405.3 or BNBC Section 1406.3.10 and Figure 1 of this
report.
)
2. Protection against condensation in the exterior wall
assembly shall be provided in accordance with the 2000
International Energy Conservation Code..
3. An approved, interior, noncorrodible vapor retarder shall
be provided in accordance with IBC Section 1403.3.
4.2 Substrates:
The substrates shall be structurally sound, clean, dry and
smooth, with all dust and deleterious materials removed.
There are to be no planar irregularities exceeding '1. inch (6.4
mm) in a 4-foot (1219 mm) radius.
4.3 Adhesives:
The Dryvit ADEPS adhesive shall be applied directly to the
entire back surface of the insulation board using aU-notched
trowel having '1.-inch-wide-by-3/a-inch-deep (6.4 mm by 9.5
mm) notches every 1 '/2 inches (38 mm) on center.
The Dryvit Primus/adhesive shall be mixed with Type I
portland cement Complying with ASTM C 150 at a ratio of 1:1
by weight and applied to the entire back surface of the
insulation board, using a rounded U-notched trowel having a
minimum '1.-inch-wide-by-3/.-inch-deep (6.4 mm by 9.5 mm)
notch every 1'/2 inches (38 mm) on center. The Dryvit
Primus/adhesive mixture shall not be used for adhering foam
plastic to wood-based sheathing.
The Dryvjt Genesis adhesive is mixed with Type I portland
cement complying with ASTM C 150 at a ratio of 1:1 by
weight, and shall be applied to the back surface of the
insulation board with a rounded, notched trowel having
minimum '1.-inch-wide-by-3/.-inch-deep (6.4 mm by 9.5 mm)
notches spaced 1'/2 inches (38 mm) on center. The Dryvit
Genesis adhesive shall not be used to adhere foam plastic to
wood-based sheathing.
4.4 Attachment:
After application of the adhesive, the coated insulation board
shall be immediately placed horizontally in a running bond
pattem on the substrate, and slid into place. Firm pressure
shall be applied to the entire surface to ensure complete
contact between the insulation board and the substrate.
Board edges shall be abutted tightly. No adhesive shall be
permitted between the boards. Temporary fasteners may be
used, especially where contours exist, to ensure adequate
contact between the insulation board and the substrate during
the adhesive drying period (care should be taken when
removing the fasteners to avoid damage to the insulation
board). Once the insulation board has been instaDed. a
minimum of 24 hours shall elapse prior to additional work on
the surface.
4.5 Coating and Reinforcing Fabric:
4.5.1 Base Coat: Using a stainless steel trowel or spray
equipment, the Dryvit Primus/adhesive mixture, the NCB base
coat or the Dryvit Genesis base coat shall be applied to the
entire exposed surface of the insulation board to a uniform
thickness of approximately 'I,. inch (1.6 mm). The reinforcing
fabric shall be placed against the wet base coat and, by
troweling from the center to the edges, the fabric shall be
completely embedded. The fabric shall be continuous over
corners and lapped not less than 2'/2 inches (63.5 mm) at
fabric edges.
4.5.2 Finish Coat: After the base coat has dried a minimum
of 24 hours, the Dryvit finish material shall be applied. The
material shall be mixed with a high-speed mixer until a
uniform workable consistency is achieved. Clean water may
be added to adjust workability in accordance with the
manufacturer's instructions. The coating is spray- or
trowel-applied directly to the reinforced base coat and is
leveled in the same operation. When the finish has gelled, the
Page 3 of 18
ESR-1232
:)
desired texture is achieved using a variety of motions with
trowels or floats. The final nominal thickness is approximately
'I,. inch (1.6 mm).
4.6 Control Joints:
Horizontal control jOints are required at each floor line in
wood-framed construction. Control joints must be installed as
specified by the registered design professional, designer,
builder or exterior coating manufacturer, in that order.
4.7 Penetrations:
Penetrations shall be prepared in a manner consistent with
Figure 1 in this report and with the Dryvit installation
instructions. Sill pan flashing shall be minimum No. 26 gage
metal having a minimum galvanized coating of G60 (or
equivalent), and shall be sloped toward the exterior.
When used, Dryvit Flashing Tape shall be applied over a
clean and dry surface. Dust, dirt, surface protrusions and
loose nails, if any, shall be removed. Surfaces shall have no
voids, damage or unsupported areas; if such conditions exist
they shall be repaired before application of the membrane.
Wood, oriented strand board, gypsum sheathing (including
Dens-Glass Gold sheathing recognized in ER-4305), normal-
weight concrete and masonry (CMU) surfaces shall be primed
with Perm-A-Barrier WB Primer, manufactured by W. R.
Grace & Co.-Conn., applied at a rate of 250 to 350 ft2/gallon
(6 to 8 m2fL). Priming is not required for plywood sUrfaces;
however, the primer described in this section may be
optionally applied.
4.8 Wind Design:
Allowable transverse wind pressures based on systems
installed in accordance with this report are set forth in this
section. Adequacy of the framing system to resist the applied
loads shall be investigated. Maximum allowable deflection of
structural wall components is '/2<<; of span. Fasteners shall be
long enough to provide a minimum n.-inch (28.5 mm)
penetration into framing.
1. The allowable wind loads are 55 psf (2.6 kN/m2) positive
and 40 psf (1.9 kN/m2) negative, for the systems applied
to minimum \-inch-thick (12.7 mm), water-resistant core
gypsum sheathing or minimum '/2-inch-thick (12.7 mm)
wood Structural panels fastened to minimum 35/.-inch_
deep (92 mm), minimum No. 18 gage steel studs or
nominal 2-by wood studs, spaced a maximum of 16
inches (406 mm) on center, using minimum No.6,
self-drilling, buglehead drywall screws spaced a maximum
of 6 inches (152 mm) on center.
2. The allowable wind loads are 55 psf (2.6 kN/m2) positive
and 70 psf (3.4 kN/m2) negative where the system is
applied to the substrate described in Item 1 of this section
fastened to minimum 6-inch-deep, minimum No. 16 gage
steel studs or nominal 2-by-4 wood studs, spaced a
maximum of 16 inches (406 mm) on center, using
minimum No.6, self-drilling, buglehead drywall screws
spaced a maximum of 4 inches (102 mm) on center.
3. The allowable wind loads are 60 psf (2.9 kN/m2) positive
or negative where the system is applied to minimum
2.5-pound-per square-yard (0.95 kg/m2), diamond mesh
metal lath that is fastened through minimum '/2-inch-thick
(12.7 mm), water-resistant core gypsum sheathing to
minimum 6-inch-deep (152 mm), minimum No. 16 gage
steel studs spaced a maximum of 16 inches (406 mm) on
center, using minimum No.6, self-drilling, buglehead
drywall screws with 3/,.-inch-diameter (4.8 mm) metal
washers, spaced a maximum of 6 inches (152 mm) on
center around the perimeter and a maximum of 10 inches
(254 mm) on center in the field of the sheathing board.
)
4. The allowable wind loads are 50 psf (2.4 kN/m2) positive
or negative if, in the system described in Item 3 of this
section, 3.4-pound-per-square-yard (1.3 kg/m2) metal lath,
minimum No. 18 gage steel studs and minimum
0.16-inch-diameter (4 mm), self-tapping panhead screws
at a maximum of 6 inches (152 mm) on center are
substituted.
5. The allowable wind loads are 70 psf (3.4 kN/m2) positive
or negative when the system is applied to masonry,
concrete or exterior plaster substrate.
6. The allowable wind loads are 55 psf (2.6 kN/m2) positive
and 40 psf (1.9 kN/m2) negative for Dryvit Genesis
adhesive and base coat applied to minimum '/2-inch-thick
(12.7 mm), water-resistant core gypsum sheathing
complying with ASTM C 79 fastened to minimum
35/.-inch-deep (92 mm), minimum No. 18 gage [0.0478
inch (1.21 mm)] steel studs spaced a maximum of 16
inches (406 mm) on center, using minimum No.6,
self-drilJing, 5-12 drywall screws spaced a maximum of 6
inches (152 mm) on center.
4.9 Noncombustible Construction:
This section applies to Types I, II, III and IV construction
under the IBC; Types 1, 2, 3 and 4 construction under the
BNBC; Types I, II, III, IV and V construction under the SBC;
and Types I, II, III and IV construction under the UBC.
Noncombustible exterior walls are permitted to be constructed
with the Dryvit Outsulation system, provided the walls are
constructed in accordance with Section 4.9.1, 4.9.2 or 4.9.3.
The assemblies described in those sections comply with IBC
Section 1406.2.1.1 and BNBC Section 1407.2.1.3, when
those codes are applicable.
4.9.1 Primus/adhesive Mixture as Adhesive and Base
Coat: Application requires minimum 35/1-inch-deep (92 mm),
minimum No. 18 gage steel studs at a maximum of 16 inches
(406 mm) on center. One layer of minimum '/2-inch-thick (12.7
mm) regular gypsum wallboard shall be installed vertically to
interior stud flanges; minimum '/2-inch-thick (12.7 mm)
water-resistant core gypsum sheathing complying with ASTM
C 79 shall be applied to the exterior stud flanges horizontally
in a similar manner, except that joints are staggered from
those of the interior wallboard. The sheathing and wallboard
shall be fastened to studs using minimum No. 6 drywall
screws spaced a maximum of 12 inches (305 mm) on center.
Openings between floors and walls shall be blocked with
sating insulation. Openings in walls shall be framed with
minimum No. 18 gage [0.0478 inch (1.21 mm)] steel. Spaces
between studs shall be blocked at floor levels with minimum
4 pet (64 kglm3) Thermafiber sating insulation (ER-2331)
measuring 1/2 inch (12.7 mm) thicker than stud depth and the
same depth as the floor, but no less than 8 inches (203 mm).
All interior gypsum wallboard joints are taped and, along with
screw heads, are treated with joint compound. The rest of the
construction is as described in Section 4.0 of this report,
using Dryvit Primus/adhesive as an adhesive and base coat.
The insulation board is limited to a maximum thickness of 4
inches (102 mm) except as described in Section 3.2.2 of this
report.
4.9.2 ADEPS Adhesive and NCB Base Coat: When
ADEPS adhesive and NCB base coat are used, one layer of
minimum 5/.-inch-thick (15.9 mm), Type X gypsum wallboard
shall be installed with the long dimension parallel to studs on
the interior face of minimum No. 18 gage steel studs spaced
a maximum of 16 inches (406 mm) on center. One layer of
minimum '/2-inch-thick (12.7 mm), water-resistant core
gypsum sheathing complying with ASTM C 79 shall be
applied with the long dimension perpendicular to studs on the
exterior face. The gypsum wallboard and sheathing shall be
Page 4 of 18
5.0 CONDITIONS OF USE
0'-,\
i
attached to the studs with minimum No.6, Type S drywall
screws spaced a maximum of B inches (203 mm) on center
along the perimeter and a maximum of 12 inches (305 mm)
on center in the field. Openings in walls shall be framed with
minimum No. 18 gage [0.0478 inch (1.21 mm)] steel. Spaces
between studs shall be blocked at floor levels with minimum
4 pcf (64 kg/m3) Thermafiber safing insulation (ER-2331)
measuring 'I. inch (12.7 mm) thicker than stud depth and the
same depth as the floor, but no less than 8 inches (203 mm).
All interior gypsum wallboard joints shall be taped and, along
with screw heads, are treated with joint compound. The rest
of the construction is as described in Section 4.0 of this
report, using ADEPS adhesive and NCB base coat. The
insulation board is limited to a maximum thickness of 4 inches
(102 mm) except as noted in Section 3.2.2 of this report.
4.9.3 Genesis Adhesive and Sase Coat: When Genesis
adhesive and base coat are used, one layer of minimum
5/,-inch-thick (15.9 mm), Type X gypsum wallboard complying
with ASTM C 36 shall be installed with the long dimension
perpendiCUlar to studs on the interior face of minimum No. 18
gage [0.0478 inch (1.21 mm)] steel studs spaced a maximum
of 16 inches (406 mm) on center. One layer of minimum
".-inch-thick (12.7 mm), water-resistant core gypsum
sheathing complying with ASTM C 79 shall be applied with
the long dimension perpendicular to the studs on the exterior
face. The gypsum wallboard and sheathing shall be attached
to the studs with minimum No.6 by 15',-inch-long (41.3 mm),
8-12 drywall screws spaced a maximum of 8 inches (203
mm) on center. The interior wallboard joints shall be taped
and, both wallboard joints and screw heads are treated with
joint compound. Openings in walls shall be framed with
minimum No. 18 gage [0.0478 inch (1.21 mm)] steel. Spaces
between studs shall be blocked at floor levels with minimum
4 pet (64 kg/m3) Thermafiber sating insulation (ER-2331)
measuring 'I. inch (12.7 mm) thicker than stud depth and the
same depth as the floor, but no less than 8 inches (203 mm).
The rest of the construction is as described in Section 4.0 of
this report using Genesis adhesive and base coat. The EPS
insulation board is limited to a maximum thickness of 4 inches
(102 mm) except as noted in Section 3.2.2 of this report.
4.10 Fire-resistance-rated Construction:
In jUriSdictions enforcing the SNBC, SBC and UBC, the Dryvit
Outsulation System may be applied over exterior
fire-resistance-rated walls required to be of combustible
construction without affecting the hourly rating. Under the
UBC, the system may also be applied over exterior,
noncombustible, nonload-bearing, steel-framed gypsum
wallboard wall assemblies of up to one-hour fire-resistance
rating for systems using Genesis adhesive and base coat,
and up to two-hour fire-resistance rating for the system using
other adhesives and base coats described in this report, and
over any concrete or concrete masonry walls, without
affecting the hourly rating. In jurisdictions enforcing the IBC,
the fire-resistance-rating of walls is beyond the scope of this
report; substantiating data shall be submitted to the
satisfaction of the building official.
4.11 Special Inspections:
In jurisdictions enforcing the IBC or BNBC, special
inspections in accordance with IBC Sections 1704.1 and
1704.12 or SNBC Section 2705.13 are required for the Dryvit
Outsulation system applied over framed walls. Duties of the
special inspector include verifying field preparation of
materials, expiration dates, installation components, curing of
components, and installation of joints and sealants. The
criteria for the special inspections shall be based on the items
contained in the manufacturer's document entitled "Third
Party Inspection Guidelines for Owners and General
Contractors/Construction Managers: OS 150, dated August
2002.
)
ESR.1232
The Dryvit Outsulation System described in this report
complies with, or is a suitable alternative to what is specified
in, those codes listed in Section 1.0 of this report, subject to
the following conditions:
5.1 Construction shall be as set forth in this report and the
manufacturer's instructions.
5.2 The insulation boards shall be separated from the
building interior with a thermal barrier complying with
IBC Section 2603.4, UBC Section 2602.4, BNBC
Section 2603.4 or SBC Section 2603.5.
5.3 The insulation boards are identified as described in
Section 7.0.
5.4 The system may be installed on walls required to be of
noncombustible construction (defined in Section 4.9),
provided there is compliance with Section 4.9 of this
report.
5.5 Installation shall be by a contractor recognized by Dryvit
Systems, Inc., as being trained to perform installation of
the Outsulation system.
5.6 All plans shall be accompanied by drawings, consistent
with the illustrations in this report, that include the
following:
1. Installation at all openings, corners and insulation
board terminations.
2. location, configuration and method of sealing of
joints between boards and at comers.
3. Typical cross section, showing all components of the
wall.
4. Typical wall pipe and window penetrations.
5. Sealants complying with Section 3.2.6 of this report.
6. Flashing details.
5.7 Installation cards, such as those shown in Figures 2 and
3, shall be completed by the EIFS applicator and the
sealant installer, respectively, and presented to the
building official at the completion of each project
5.8 The systems shall not be installed on framed walls of
Type V, Group R3 or R4, Occupancies under the IBC;
framed walls of Type V, Group R.1, R-2. R-3 or R-4,
Occupancies under the BNBC; framed walls ofType VI,
Group R1 and R2, OccupanCies under the SBC; framed
walls of Type V, Group R1 or R3, Occupancies under
the UBC or the IRC.
6.0 EVIDENCE SUBMITTED
6.1 Data in accordance with the ICC-ES Acceptance
Criteria for Exterior Insulation and Finish Systems
(AC219), dated October 2003, including reports of tests
in accordance with ASTM E 119, ASTM E 84, UBC
Standards 26-4 and 26-9, and NFPA 268.
6.2 Data in accordance with the ICC-ES Acceptance
Criteria for Foam Plastic Insulation (AC12), dated June
2004.
6.3 Data in accordance with the ICC-ES Acceptance
Criteria for Flashing Materials (AC148), dated July 2001.
6.4 Application instructions
6.5 Quality control manuals for the Dryvit EIFS materials
and the Dryvit insulation boards.
Page 5 of 18
ESR.1232
7.0 IDENTIFICATION
;1
Material containers are identified by the manufacturer's name
(Dryvit Systems, Inc.) and address, the product name, the
expiration date and the evaluation report number (ESR-1232),
Dryvit insulation boards are delivered in sealed polyethylene
bags bearing the word .Outsulation: Additionally, one edge
of each board bears the wording .Outsulation [listino number
and olant identification number of block molderl, ICC-ES
Evaluation Report ESR-1232-RADCO: Other insulation
boards are marked as required for WSG board in NER-551,
or are marked as required for EWG board in ER-4059. One
board in each bag also bears the same wording on each face.
When used on walls required to be noncombustible
construction, each WSG and EWG board shall also include
the name "Dryvit Outsulation..
)
I
I
SUBSTRATE
ORYVlT AOtESIVE
EXPANl:EO POlYSTYRENE
INSULATION BOARD
ORYVIT BASE COAT
DRYVIT RElNfORCIHG MESH
DRYVIT BASE COAT
DRVVIT FIlISH
-/ BY OTHERS
~'T OUTSUlA nON SYSTEM
System Layout
FIGURE 1-TYPICAL INSTALLATION DETAILS
Page 6 of 18
ESR-1232
~I
BY OTtERS
-t- ORYVIT OUTSUlA Tll>>l SYSTEM
I FRAI1Ni
ORYYlT ADHESIVE
I .
SUBSTRA TE
DRYVrr FINSH
ORYVTT REINfORCING MESH
EMBElnD .. SASE (OA T
EPS INStllATION
WRAP ORYVIT OET All MESH 50 I'IH (2")
I1INlPU'I AT UHOERSIlf OF EPS
~
19 Ml1 (3/4") MIN.
T
ORYVIT (Ot'PATIIlE SEAlANT WIllI
ClOSED CRl 8ACJ(ER ROO. BY OTtERS
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ON SURfACE TO RECElVE SEAlANT
I- V
I
I
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oS ..
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.,
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BY OTl-ERSj DRYYlT OUTSll.ATQtSYSTEH
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.4
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SUBSTRAT!
ORYVlT fNSH
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ORYVlT 4DHESM
fPS 1CSUl4TD1
WRAP 1>>'Ml DETAI. I'ESft 50 ~ IT)
MINII'UI AT UNDERSU rE EPS
DRYVIT CO"lPATl8lE SfAlAIfT WITH
BONO BREAXER, BY OTtERS
.,".<1
., rZOO I'll (8") tlIl ABOVE FHSI-EO
., GRADE OR AS REQUIRED BY LOCAl ~
}. ., ~ . .. .. ~
4 .,
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System Termination
FIGURE 1-(Continued)
Page 7 of 18
ESR-1232
;j
APP\. T SIl.L '''1 R.ASIIIoG
{SEt lints Ul
IIlSTAl.L Fl~ TN'l AT
JAIlIS MIIL._1Ii 'IE'I1IUl
lfl .. PAIl fUSItIIIi
lS([ IIlITt U)
STEP #1
STEP #2
)
INST AU. fI.ASlIII; TAlI
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STEP 113
STEP M
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lACK WRAP 1~1I. A TlGIlIllWll
ItIJ1l DrT Alle 1lfJW0IlCIIIG ICSIt
III lAll. -0IIClIlG ICSIt
Z&t "" It vrJ x lOO "" 11M IT't?J
Opening Preparation
FIGURE 1-(Continued)
Page 8 of 18
ESR-1232
'~l
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nt ......... _ . iXXIIl _
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FIGURE 1--{Continued)
Page 9 of 18
ESR-1232
'-l
IY !1T>€1K
lllI'nIIT OIITS.....TIOII ~
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FIGURE 1-(Contlnued)
Page 10 of 18
ESR-1232
~
)
WOOD FRAMING
BY OTHERS
ORYVIT OUTSUl4nQN SYSTEM
ORYVlT FIHISH
ORYVIT REINFORCING MESH
EMBEDDED L'l BASE COA T
EPS INSUlATION
\
\
\
\
\/
\ I
V
1\
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ORYVIT -COMPA T1BlE SEALANT WITH
ClOSED CELL BACKER ROO, BY OT~RS
<
SlQPf BOTTOM SURfACE US Mtl.
OUT....ARD TO ~AIN
ORYVlT DEI1ANOIT~ OR COlOR PRJ1E'.
Off SURFACES TO RECEM SEAlANT
WRAP ~YVIT OUALe MESH
~ tI'1 IrlltH. AT UNOERSa Of EPS
SUBSTRA Tt
ORYVI T ADHESIVE
) ~ .:l
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SOI.Il SU8STRA TE 4 .a ..
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4 FRAMNi
DRYVlT ACJiESIVE
DRYVIT FNSH
ORYVlT Rft4FORCNi tESH
fH8fDOO) .. BASE CQA T
DRYVlT DEI1ANDITe OR Cll.OR ~,.
ON ~ACES TO RfCEM SE4lANT
ORYVlT -COMP" Tl8lE SEAlANT WITH
ClOSED CElL BACKER ROO, BY OTHERS
Expansion Joints
FIGURE 1-(Continued)
Page 11 of 18
ESR-1232
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65 MM 12 1/2") MIN,
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lJllYVIf CllHP.\ rat SULAlfT Willi
IIONIl IIlE.\IllR, IN OlIOS
'oI1to\l> lJllYVIT OEl4. ~
~o "" 11"1 .... AT IIIIEJl5ID( OF EPS
lJllYVIT FlIISH
DIIYVIT II[Jlflll{Ni IESII
EIl8EDll(O II lASE tot. T
D'S ICSIU,TIllI
SUllSTRA IE
FIWlII6
llIlYVIT .\OI€SM
8'l' OlllEllS -L lIIYVIT ou:rSUU TDI S 'ISltIl
FL\SItIlli SI.fEVE SHOwIl
.. EXPLODED ~W
PIlTA&. CCPIIli R.ASHIIG
AT PAIW'[T ltAU
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II [IUlliElI srCTllII WV
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DRTVlT I'USIINI T.\II(
llIITVlT (0/11>.\ Tl8U SfAlAHT WItlasm au \ A
IAClClII ROll ANII 'olEO' n.s EVlII'r ~ A
600 "" In"} It( 0lHEIl5. "
ROOF Fl.\SItNG .\Ill COUNTDl
FLASItIlI;. 0'" DTJERS
Termination at Parapet
FIGURE 1-(Continued)
Page 12 of 18
ESR-1232
~-'j
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BY OTHtRS illRYV'T OUTSli.... TlOII mlt"
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-- ---
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FIGURE 1-{Continued)
~
SUISlb 1t
IIRTYfT A1K5l\It:
EPS ..stI. "nil
IIRTYfT IlOI'llIlCII& I'LSIf
o.olll[O .. IAS[ COol T
IIlnIT f IISIl
2S MM [1-) MAX
Page 13 of 18
ESR-1232
~l
SUBS iRA TE
WRAP DAYVIT DETAllCD MESH
SO Mt'l lTll1lN. A I IJNDEJ!SIlE OF EPS
OPTIONAL SECONOAllY SEAL.
BY OiHERS
ORYVlT OEI1ANllITCD OR ClllOR PIlII't:'"
ON SURFACES TO REWVE SEALANT
ORYVI T -COt1P A T81E seALANT WITH
CLOSED CELL BACKER ROO. BY OTIERS
J
OPTIONAl SE(Ot<<)ARY SEAl
DRYVlT DEMAIOT OR ClllOR PRlf1E
ON SURFACES TO RECEM SEAUHT
DRYVlT AIHSIVE
EPS INSlUTDI
DRYVlT RENORCIIG rt:SH
ErlBEDOEIl IN BASE (CIA T
ORYVlT FINSH
BY OTHERS
ORYVlT
OUTSlA.A TDI
SYSTE/1 BY OTHERS
)
FIWtN6
llRYVIT AlHSIVE
EPS INSlA.A TQt
Sl8STRA TE
BlOCKIIli AS REOURED
P8'E SlEEVE
llRYVlT - ctltt>A lISLE SUlAHT A)I)
BONO BREAKER TAPE.. BY OTHERS
SCREW OR IItl. T A TT ACH/"(NT
TO 1lUl!llNG FRA1'1N6
(J
v'
NEllPRENE WASIO
IlRYVlT FINISH
SIGN FIXTtJlE
ORYVIT REtlFORCNi P1fSH
EMIlfllOEO IN SASE tQA T
Penetrations
FIGURE 1-{Continued)
Page 14 of 18
'"'"""
I
ESR-1232
19 MM 1311. -) MIN
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E/tIromn II USE CDII T
FRAItH6
SlIlSTRA Tf
llRYVIT FHSH
fPS IISU..llDl
llIYWT AIM91/(
lI!YVIT lIEWOIlCJc; KSH
UlIlElICED .. IIASl COAT
OlmIIT Altlltt1EHCfo
SU8STllA Tf
OIfTVIT AlJlf:SIV!
D'S IIlSll.A TDf
IlRYVl'T AlINFOIDlG KSII
fl"llEDDal II USl COAT
llIYVIT
OlITSUlA TDf
SYSTlPl
IR\'VIT WT..... ItSIl
IN'P[lJ .S "" 12 11M ItIt
Accents
FIGURE 1-{Continued)
Page 15 of 18
ESR-1232
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en .... "J ~ . IPI .....
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11M en MIN.
-,.....
Deck Flashing
FIGURE 1-(Continued)
Page 16 of 18
ESR-1232
.-,
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- S'tnDt SUIPaI
""AT"" VIlL1
'OSlIA _
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lIlD' >>tICl.E s
QWl rUlASiK
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a., 01liE.R$
Roof Flashing
FIGURE 1-{Continued)
Page 17 of 18
ESR-1232
-)
I
EXHIBIT A
(EIFS CONTRACTOR NAME)
Completion Date:
THE EXTERIOR INSULATION AND FINISH SYSTEM (EIFS) INSTALLED ON THE STRUCTURE lOCATED AT THE ADDRESS
BELOW CONFORMS:
TO (EIFS MANUFACTURER NAME) RECOMMENDED INSTALLATION PRACTICES AND SECTION(S)
OF ICC-ES, INC., REPORT NO.
Address of Structure:
Product Component Names:
Adhesive(s)
Fasteners (mech)
Base Coat
Reinforcing Fabric
Finish Coat(s)
INSTALLATION
CONFORMS
A. Substrate Type and Tolerance
B.
EIFS
1.
2.
3.
4.
5.
Adhesive and/or Fasteners
Insulation
Reinforcing Fabric
Base Coat
Finish
)
C. The information entered above is offered in testimony that the EIFS installation conforms with the EIFS manufacturer's
installation methods and procedures, and the EIFS manufacturer's ES report.
NOTE: An installation card shall be received from the Sealant Installer indicating that the sealant installation conforms with the
EIFS evaluation report and sealant manufacturer's installation methods and procedures must accompany this declaration.
EIFS Contractor Company Name and Address:
Signature of Responsible Officer:
Typed Name and Title of Officer:
Telephone Number: <-)
cc:
Original:
Copy:
Building Department
EIFS Manufacturer
(Must be submitted with sealant
installation declaration.)
FIGURE 2
Page 18 of 18
ESR-1232
EXHIBIT B
(SEALANT INSTALLER NAME)
Completion Date:
THE SEALANT INSTALLED IN CONJUNCTION WITH AN EXTERIOR INSULATION AND FINISH SYSTEM (EIFS) INSTALLED
ON THE STRUCTURE LOCATED AT THE ADDRESS INDICATED BELOW CONFORMS:
TO (EIFS MANUFACTURER NAME) AND (SEALANT MANUFACTURER'S NAME) RECOMMENDED INSTALLATION
PRACTICES AND SECTION(S) OF ICC-ES, INC., REPORT NO.
Address of Structure:
Product Component Names:
Primer(s)
Sealers
Bond Breakers
Sealant Materials
INST ALLA TION
CONFORMS
A. Designer's requirements,
details and instructions.
B. Sealant manufacturer's
details and requirements.
C. Exterior insulation
manufacturer's requirements
)
D.
The information entered above is offered in testimony that the Sealant installation conforms with the sealant
manufacturer's installation methods and procedures, and the EIFS manufacturer's evaluation report.
Sealant Installer Company Name and Address:
Signature of Responsible Officer.
Typed Name and Title of Officer.
Telephone Number: (->
cc:
Original:
Copy:
Building Department
EIFS Manufacturer
EIFS Contractor
Sealant Manufacturer
(Must be submitted with sealant
installation declaration.)
FIGURE 3
08:34 FAX 952 544 8869
OLYMPIC WALL SYSTEMS
... !Me ON
~002
Page 170f9
ESR.1232
Completion Date: 6/10/05
THE EXTERIOR INSULATION AND FINISH SYSTEM (EIFS) INSTALLED ON THE STRUCTURE LOCATED AT THE AOORESS
BELOW CONFORMS:
EXHIBIT A
(EIFS CONTRACTOR NAME)
TO (EIFS MANUFACTURER NAME) RECOMMENDED INSTALLATION PRACTICES AND SECTJON(S)
OFICC-Es.rNc.,REPORTNO. Ek-2728, 22-QO - 94176B
7240
Address of Structure:
PAWS & PALS
Product Component Names:
5821 INDUSTRIAL LANE
PRIOR LAKE, MN
Adhesive(sL PRIMUS
Fasteners (mech) NI A
GENESIS
Base Coat
Reinforcing Fabric STANDARD 4 _ 3 02.
Finish Coat(s)
SANDPEBBLE
INSTALLATION
CONFORMS
YES
A.
Substrate Type and Tolerance
8.
EIFS
, .
2.
3.
4.
5.
Adhesive and/or Fasteners
Insulation
Reinfordng Fabric
Base Coat
Finish
YES
YES
YJ;'~
YES
YES
C. The information entered above is offered in testimony that the EIFS Installation conforms with the EIFS manufaclurer's
installation meltJods and procedures, and the EIFS manufacturer's ES report.
NOTE: An installation card shall be received from the Sealant Installer indicating that the sealant installation confonns with the
EIFS eveluBtion report and sealant manufacturer's installation methods and procedures must accompany this declaration.
EIFS Contractor Company Nama and Address:
OLYMPIC WALL SYSTEMS, INC.
2823 HEDBERG DRIVE
MINNETONKA. MN 55305
'--
Signature of Responsible Officer.
Typed Name and Title of Officer:
Telephone N~mber: ( 952) 546-8166
co:
Original:
Copy:
BUilding Department
EIFS Manufacturer
(Mu8t be submitted with sealant
Installation declaration.)
FIGURE 2
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ALLAN MECHANICAL - BALANCE REPORT;
( TOB NAME: P).w'5 .IJ.' (~t. '5
PERMIT #:
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DATE: i:. //.$/c.r
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Planning Final Inspection Checklist
Address:
Pennit #:
Inspector:
Date:
o Review Pink plan review sheet in building permit file
o Sign permit required
o Inspect finish exterior material, match with approved plan
elevations
o Parking lot
o Site layout (Trash enclosure, HV AC units, etc.)
o Landscaping/irrigation as per approved plan
o Trees: Those that were to be saved, are they still there?
o If landscaping is incomplete, obtain an irrevocable Letter of
Credit (LOC) of 125% of approved bid.
o Outdoor storage: Note if site stores anything, if so bring back
to Planning Department
JUN-l0-2005 10:03AM
FROM-SENTRY FIRE
TFP223
corrosive products of combustion, but
have not operated. should be replaced
if they cannot be completely cleaned
by wiping the sprinKler with a cloth or
by brushing It with a soft bristle brush.
Care must be exercised to avoid dam-
age to the sprinklers - before, during.
and after installation. Sprinklers dam-
aged by dropping, striking. wrench
twist/slippage, or the like, must be re-
placed. Also, replace any sprinkler that
has a cracked bulb Or that has lost
liquid from its bulb. (Ref. Installation
Section).
Frequent visual Inspections are rec-
ommended to be Initially performed for
corrosion resistant coated sprinklers,
after the installation has been com-
pleted. to verify the integrity ot the cor-
rosion resistant coating. Thereafter,
annual inspections per NFPA 25
should suffice; however, instead of in-
specting from the floor level, a random
sampling of close-up visual inspec-
tions should be made, so as to better
determine the exact sprinkler condi-
tion and the long term Integrity of the
corrosion resistant coating, as It may
be affected by the corrosive conditions
present.
The owner is responsible for the in-
spection, testing, and maintenance of
their fire protection system and de-
vices in compliance with this docu-
ment, as well as with the applicable
standards of the National Fire Protec-
tion Association (e.g., NFPA 25), in
addition to the standards of any other
authorities having jurisdiction. The in.
stalling contractor or sprinkler manu-
factu rer should be contacted relative to
any questions.
It is recommended that automatic
sprinkler systems be inspected,
tested, and maintained by a qualified
Inspection Service In accordance with
local requirements and/or national
codes.
+7636584921
Limited
Warranty
Products manufactured by Tyco Fire
Products are warranted solely to the
original Buyer for ten (10) years
against defects in material and work-
manship when paid for and properly
Installed and maintained under normal
use and service. Thls warranty will ex-
pire ten (10) years from date of ship.
ment by Tyco Fire Products. No war-
ranty is given for products Or
components manufactured by compa-
nies not affiliated by ownership with
Tyco Fire Products Or for products and
components which have been subject
to misuse, improper Installation, corro-
sion, or whiCh have not been Installed,
maintained, modified or repaired In ac-
cordance with applicable Standards of
the National Fire Protection Associa-
tion, and/or the standards of any other
Authorities Having Jurisdiction. Mate-
rials found by Tyco Fire Products to be
defective shall be either repaired or
replaced, at Tyco Fire Products' sole
option. Tyco Fire Products neither as-
sumes, nor authorizes any person to
assume for it, any other obligation in
connection with the sale of products or
parts of products. Tyco Fire Products
shall not be responsible for sprinkler
system design errOrs or inaccurate or
incomplete Information supplied by
Buyer or Buyer's representatives.
IN NO EVENT SHALL TYCO FIRE
PRODUCTS BE LIABLE, IN CON-
TRACT, TORT, STRICT LIABILITY OR
UNDER ANY OTHER LEGAL THE-
ORY, FOR INCIDENTAL, INDIRECT,
SPECIAL OR CONSEQUENTIAL
DAMAGES, INCLUDING BUT NOT
LIMITED TO LABOR CHARGES, RE-
GARDLESS OF WHETHER TYCO
FIRE PRODUCTS WAS INFORMED
ABOUT THE POSSIBILITY OF SUCH
DAMAGES, AND IN NO EVENT
SHALL TYCO FIRE PRODUCTS' LI-
ABILITY EXCEED AN AMOUNT
EQUAL TO THE SALES PRICE.
THE FOREGOING WARRANTY IS
MADE IN LIEU OF ANY ANa Al.L
OTHER WA RRA NT/ES EXPRESS OR
IMPLlED,INCLUDING WARRANr/~
OF MFRCHANTABILlTY AND FIT-
NESS FOR A PARTICULAR PUR-
EQg.
T-789 P 005/006 F-201
Page 5 of 6
Ordering
Procedure
When placing an order, indicate the full
product name. Please specify the
Sprinkler Identification Number (SIN),
quantity, and temperature rating. Refer
to the Price List for complete listing of
Part Numbers.
Contact your local distributor for avail-
ability.
Sprinkler Assemblies with NPT
Thread Connections:
Specify: TY 4232, (specify tempe rature
rating), Extended Coverage Pendent
Sprinkler with (specify finish), PIN
(specify).
135'F/57'C
Natural Brass . .........
Wnlta Coated . . . . . . . . . . .
White (AALe010j"... .. . . "
Cnromll Plated ....
155' FIGS' C
N<l.[ur:ll Brass. .. . . .. ..... PSN SO-S01.,.155
White Coa1od .. . .... .. ... PSN SO-801.4~155
White (RALe010r......,... PSN 50-601-3-155
Cnrome Platod .. ..... ... PSN SO-801-B-1S5
. PSN 50.801-1-135
. PSN 50-801-4-135
. PSN 50.801-3.135
. PSN 50.801.9-135
"Eastern Hemisphere sales only.
Recessed Escutcheon:
SpeCify: Style (30 or 40) Recessed
Escutcheon with (specify finish), PIN
(specify).
S1ylo 30 Recessed Escutcheon
Cnrom!l Pl:\lod .... ... . PSN 56-705-9-01 ,
White COlor Costeel . . . . . . . . PSN 56-705-4.011
While (RAL9010)". . . . . .. . PSN 56.705-3-011
Brass Plated. . . .. ..... PSN 56.705-2.011
S1yJe 40 Receued Escutcheon
Chrome Platod . . . . .. .. . PSN 56-700-9.010
WhIte Color Costeel " . . . . . . PSN 5cHOO-4-01 Q
Whlto (RALS01 0)-. . . . . . . . PSN S6-700-S-Q1 0
Brass Plated. .. .......... PSN 56-70 O-Z-O 1 0
"Eastern Hemisphere eales only.
Sprinkler Wrench:
Specify: W-Type 3 Sprinkler Wrench,
PIN 56-895-1-001
Specify: W-Type 4 Recessed Sprinkler
Wrench. PIN 56-875-4-001
JUN-10-2005 10:03AM FROM-SENTRY FIRE
Page 6 of 6
+7636584921
T-789 P.006/006 F-201
TFP223
TYCO FIRE PRODUCTS, 451 Nortn Cannon Avenue, Lansdale, Pennsylvania 19446
JUN-l0-2005 10:02AM FROM-SENTRY FIRE
+7636584921
Page 4 of 6
DESCRIPTION
AREA
GPM
PSl
TY4232 (K=8.0) PENDENT
16x16
1a x 18
20 x 20
26
33
40
10,6
17.0
25.0
1 ft. :: 0,3048 m
1 ft2:::; 0.093 m2
1 gpm:::; 3.785 Ipm
1 psi:: 0,Oa895 bnr
1 gpmftt2:::; 40,74 mmimin
TABLE D
FLOW CRITERIA FOR UL AND C-UL LISTING
OF SERIES EC-8 SPRINKLERS
1/2:1:1 i8"
(12,7z3,2 mm)
FACE OF
SPRINKLER
FITTING
2-7/8" DIA
- (73,Omm)' -
-- 2.1/4" DIA. J
157.2 mm, "61
1/2' (12,7 mm)
1/<1' (6,4 mm)
1
1-1/4" (31,S mm)
1" (25,4 mm)
FIGURE 2
SERIES EC-8 RECESSED PENDENT SPRINKLER ASSEMBL Y
WITH TWO-PIECE 1/2 INCH TOTAL ADJUSTMENT
STYLE 30 RECESSED ESCUTCHEON
9/16%114 "
(14,3%6,4 mml
_ 2.7/8" DIA. _,
(73,0 mm)
_ 2-1/4" DIA. _,
(57.2 mm)
3/4" (19,1 mm)
1/4" (6,4 mml
Ot \
MOUNTING
SURFACE /
CLOSURE
1.5/16" (33,3 mml
13/16" (20,6 mm)
FIGURE 3
SERIES EC-S RECESSED PENDENT SPRINKLER ASSEMBL Y
WITH TWO-PIECE 3/4 INCH TOTAL ADJUSTMENT
STYLE 40 RECESSED ESCUTCHEON
T-789 P 004/006 F-201
TFP223
FIGURE 4
W-TYPE 3 SPRINKLER
WRENCH
fr
@
(~-
f'
f
---....
f f
\_____...1
<=:JG)
WRENCH
LUGS
FIGURE 5
W- TYPE 4 RECESSED
SPRINKLER WRENCH
Care and
Maintenance
The Series EC-8 SprInklers must be
maintained and serviced In accord.
ance with the following instructions:
NOTE
Before closing a fire protection system
maIn control valve for maintenance
work on the fire protection system that
It controls, permission to shut down
the affected fire protection systems
must be obtained from Fhe proper
authorities and all personnel who may
bE! affected by this action must be no-
tified.
Sprinklers that are found to be leaking
or exhibiting visible signs of corrosion
must be replaced.
Automatic sprinklers must never be
painted. plated, coaled, or otherwise
altered after leaving the factory. Modi-
fied sprinklers must be replaced.
Sprinklers that have been exposed to
JUN-10-2005 10:02AM
FROM-SENTRY FIRE
+7636584921
TFP223
1350F 1 55~F
AREA STYLE
16 x 16 Pendent OR OR
16 x 16 Style 30 Recessed OR OR
16x16 Style 40 Recessed OR OR
18 x 18 Pendent OR OR
18 x 18 Style 30 Recessed OR SR
18 x 18 Style 40 Recessed OR SR
20 x 20 Pendent OR SR
20 x 20 Style 30 Recessed OR SR
20 )(20 Style 40 Recessed SR SR
OR: ouick Response
SR: Standard Response
N/A; Not Applicable
TABLE B
SENSITIVITY RA TING FOR UL AND C-UL LISTING
OF SERIES EC-S SPRINKLERS
1350F '55OF
AREA STYLE
16 x 16 Pendent OR oR
16 x 16 L Style 30 Recessed OR N/A
16 x 16 Style 40 Recessed N/A N/A
18 x 18 Pendent oR OR
18x18 Style 30 Recessed OR N/A
18 x 18 Style 30 AecElSsed N/A N/A
20 X 20 Pendent OR OR
20 x 20 Style 30 Recessed OR N/A
20 x 20 Style 40 Recessed N/A N/A
OR: Quick Response
SA: Standard Response
N/A: Not Applicable
TABLE C
SENSITIVITY RA TING FOR FM APPROVAL
OF SERIES EC-S SPRINKLERS
tween the SerIes EC-8 Sprinklers, to
prevent cold soldering, is 6 feet (2.4
m).
FM Approval
Requirements
The Series EC-8 Extended Coverage
Sprinklers are to be installed in ac-
cordance with the applicable Factory
Mutual Loss Prevention Data Sheet.
Information provided in the FM Loss
Prevention Data Sheets relate to, but
are not limited to, hydraulic design,
ceiling slope and obstructions. mini-
mum and maximum allowable spacing.
and deflector-to ceiling distance.
4. The Series EC-8 Sprinklers are to be
installed in accordance with all other
requirements of NFPA 13 for ex-
tended coverage pendent sprin-
klers.
T-789 P.003/006 F-201
Page 3 of 6
Installation
The Series EC-8 Sprinklers must be
installed in accordance with the follow-
ing instructions:
NOTES
Do not install any bulb rype sprinkler If
the bulb is cracked or there is a loss of
liquid from the bulb. With the sprinkler
held horizonta/ly, a small air bubble
should be present. The diameter of th e
air bubble is approximately 1/16 inch
(7,6 mm).
A leak tight 3/4 inch NPT sprinkler joint
should be obtained with a Torque of 10
to 20 fr.lbs. (13,4 ro 26,8 Nm). A max/-
mum of 30 ft.IDS. (40,7 Nm) of torque
is to be used to insrall sprinklers.
Higher levels of torque may distorf the
sprinkler inlet wUh consequent leak-
age or Impairment of the sprinkler.
Do not attempt to compensate for in-
sufficient adjustment of an Escutcheon
Plate by under- or eJVer-tightening the
Sprinkler. Readjust the position of the
sprInkler fitting to suit.
Step 1. The sprinkler must be installed
with the deflector parallel to the mount-
ing surface. Pendent sprinklers must
be Installed in the pendent position.
Step 2. After installing the Style 30 or
40 mounting plate (or other escutch-
eon, as applicable) over the sprinkler
pipe threads, and with pipe thread
sealant applied to the pipe threads,
hand tighten the sprinkler into the
sprinkler fitting.
Step 3. Wrench tighten pendent sprIn-
klers using only the W-Type 3 (End A)
Sprinkler Wrench. Wrench tighten the
recessed pendent sprinklers using
only the W-Type 4 Sprinkler Wrench.
The wrench recess of the applicable
sprinkler wrench (Ref. Figure 4 and 5)
is to be applied to the sprinkler wrench
flats (Ref. Figure 1).
JUN-l0-2005 10:01AM
FROM-SENTRY FIRE
Page 2 of 6
CompClnen!S:
, - FramQ
2 - Button
3 - Sealing Assembly
4 - Bulb
5 - Compression
Screw
6' Deflector-
.. Temperature rating is 4
indiCated on DefliOlctor.
.... Pipe thread
oonnectlons per ISO
7{1 can be provided
on special request.
+7636584921
I
T-789 P 002/006 F-201
TFP223
FIGURE 1
SERIES EC-B (TY4232) EXTENDED COVERAGE PENDENT SPRINKLERS
112"
(12,7 mm)
NOMINAL
MAKE-IN
6.
SPRINKLER FINISH (See Note 4)
HAZARD TYPE TEMP. BULB NATURAL CHROME WHITE'
LIQUID BRASS PLATED POLYESTER
LIGHT PENDENT 135OFi57^C Orange
15SftF/68OC Red 1,2,3,5
Refer to Table B for UL and C-UL
Sensitivity Rating REC.PENDENT 13soF/S7OC Orange
and wI Style 30 Ese. 155OF/68'C Red 1,2,3.5
Refer to Table C for FM
Sensitivity Rating REC.PENDENT 135OF/57OC Orange
wi Style 40 Ese. 15S^F!6aOC Red 1,2,5
NOTES:
1. Listed by Underwriters Laboratories, Inc. (UL).
2. Listed by Underwriters Laboratories, Inc. for use in Canada (C-UL).
3. Approved by Factory Mutual Research Corporation (FM).
4. Where Polyester Coated Sprinklers are noted to be UL and C-UL. L.isled, the sprinklers are UL and C-UL LiGted as Corrosion
Resistant SprinKlers.
5. Approved by the City of New YorK under MEA 113-04-E.
-Frame and Deflector only. Listings and approvals apply to color (Special Order).
TABLE A
LABORA TORY LISTINGS AND APPROVALS
(Refer to the Design Criteria Section)
Temperature Ratings
1350F/570C and 1550F/680C
Finish
Sprinkler: Refer to Table A
Recessed Escutcheon: White Coaled,
Chrome Plated, and Brass Plated
Physical Characteristics
Frame. . . . . . . . . . . . . Bronze
Button. . . . . . . . . . . . . Bronze
Sealing Assembly . . . . . . . . . .
, , . . . Beryllium Nickel wlTeflon1'
Bulb. . . . . , . . Glass (3 mm dia.)
Compression Screw . . .
. . . . . . . . . . . . . . . . Bronze
Deflector . . . . . . . . . . . . Brass
t Registered trademark of DuPont
Operation
The glass bulb contains a fluid that
expands when exposed to heat. When
the rated temperature is reached, the
fluid expands sufficiently to shatter the
glass bulb, allowing the sprinkler to
activate and flow water.
Design
Criteria
The Series EC.S Extended Coverage
Pendent Sprinklers must only be in-
S1alled In accordance with the applica-
ble UL and C-UL Listing or FM Ap-
proval requirements as Indicated
below. Only the Style 30 or 40 Re-
cessed Eseulcheon is to be used for
recessed installation, as applicable
(Ref. Table A. B, and C).
UL and C-UL Listing
Requirements
1. The Series EC-8 Sprinklers may be
used for the coverage areas ShOwn
in Table OJ based on maintaining the
minimum specified flow rale as a
function of coverage area and haz-
ard group for all 01 the sprinklers in
the design area.
2. WIth respect to heat sensitivity, the
Series EC-8 Sprinklers can be used
with unobstructed construction con-
sisting 01 flat, smooth ceilings (In-
eluding bar joists) with a maxlmum
pilCh of one in six as Clefined and
permitted by NFPA 13.
3. The minimum allowable spacing be-
JUN-10-2005 10:01AM
FROM-SENTRY FIRE
+7636584921
T-789 P.OOl/006 F-20l
tqCD / Fire & Building
/ Products
Technical Services: Tel: (800) 381-93121 Fax: (800) 791-5500
Series EC-8 - 8.0 K.facfor
Extended Coverage (Light Hazard)
Pendent and Recessed Pendent Sprinklers
General
Description
The Series EC-8 Extended Coverage
Pendent Sprinklers are decorative
glass bulb sprinklers designed for use
in light hazard occupancies. They are
intended for use in automatic sprinkler
systems designed in accordance with
standard installation rules (e.g., NFPA
13) tor a maxImum coverage area of
400 ft2 (37,2 m2), as compared to the
maximum coverage area of 225 ft2
(20,6 m2) for standard coverage sprin-
klers used in light hazard occupancies.
The recessed version of the EC-8, in-
tended for use in areas with a finished
ceiling, uses eitherthe two-piece Style
30 or 40 Recessed Escutcheon. The
Style 30 Recessed Escutcheon pro-
vides up to 1/2 inch (12,7 mm) of total
adjustment from the flush pendent po-
sition, whereas, the Style 40 provldes
3/4 inch (19,1 mm) of vertical adjust.
ment from the flush pendent posltlon.
The adjustment provided by the Re-
cessed Escutcheons reduces the ac-
curacy to which the fixed pipe drops to
the sprinklers must be cut.
Corroslon resistant coatings, where
applicable, are utilized to extend the
life of copper alloy sprinklers beyond
that which would otherwise be ob-
tained when exposed to corrosive at-
mospheres. Although corrosion resis-
IMPORTANT
Always refer to Technical Data
Sheet TFP700 for the ;'INSTALLER
WARNING" That provides cautions
with respect to handling and instal-
lation of sprinkler systems and com-
ponents. Improper handling and in-
srallstlon can permanently damage
a sprinkler system or its compo-
nents and cause the sprinkler to fail
to operate in a fira sirua tion or cause
it to operate prematurely.
Page 1 of 6
tant coated sprinklers have passed the
standard corrosion tests of the appli-
cable approval agencies, the testing is
not representative of all possible cor-
rosive atmospheres. Consequently, it
is recommended that the end user be
consulted with respect to the suitability
of these corrosion resistant coatings
for any given corrosive environment.
The effects of ambient temperature,
concentration of chemicals, and
gas/chemical velocity, should be con-
sidered, as a minimum, along with the
corrosive nature of the chemical to
which the sprinklers will be exposed.
WARNINGS
The Series EC-8 Extended Coverage
Sprinklers described herein must be
installed and maintained in compli-
ance with this document. as well as
with the applicabie standards of the
National Fire Protection Association,
in addition to the standards of any
orher authorities having jurisdiction.
Failure to do so may Impair the per-
formance of these devices.
The owner is responsible for maintain-
ing their fire protection system and de-
vices in proper operating condition.
The installing contractor or sprinkler
manufacturer should be contacted
with any questions.
Model/Sprinkler
Identification
Number
TY4232 - Pendent, S.OK
TY4232 is a redesignation for C4232.
JANUARY, 2005
Technical
Data
Approvals
UL and C-UL Listed. FM and NYC Ap-
proved. (Refer to Table A for complete
approval information including corro-
sion resistant status. The approvals
apply to the service conditions Indi-
cated in the Design Criteria section.)
Maximum Working Pressure
175 psi (12,1 bar)
Pipe Thread Connection
3/4 inch NPT
Discharge Coefficients
K == 8.0 GPM/psi1l2
(115,2 LPM/bar1/2)
TFP223
Memorandum
DATE: December 20,2004
TO: Danette Moore
FROM: Robert D. Hutchins
RE: Site and building plan review for Paws & Pals building
Following are the results of the Site and building plan review for the Paws & Pals
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). The numbered requirements
correspond with the November 23,2004 Site plan review. Comments in italics have been
added.
/'
(:)17
....,1
\ " Site Comments:
v1. Locate Post Indicator Valve (PIV) a mInImUm distance away the height of the
building.
~. If provided, indicate means of lawn irrigation. May use separate service and metering
for billing purposes. Deduct meters not allowed.
&,f/\.~ Jj):>rovide monument drawings.
The following are building plan comments:
(JJ Submit a soils report.
@ Submit the signed Special Structural Testing and Inspections Schedule. IBC 1704.1.
See enclosed.
('.. cJ ./~'\ftLt{!1) Sht. L2.0: Provide detail of lawn sprinkler service stub valve and backflow prevention
L- details. RPZ not allowed.
6JtV\.tY"\ - 6J? Provide fire extinguishers minimum 2AI0BC rated, within 75 feet travel distance of
all areas. IFC 906. Provide an additional fire extinguisher by door 190D.
./ ./ -- /
Also provide two sets of revised structural':;.9:ised civil(!!:!::.!.~ed liihti~g,-Certificate of
Survey. and Q]:U;> additi(m~~d"revise!J.ii.~ rchitcectural plans.-------
Th~~~ plans must be reviewed ~f~es 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. Code items must be addressed before a building permit is issued.
J:\BUlLDING\LETRMEMO\Paws & Pals\#2 Paws&palssite.DOC
DATE: November 23,2004
~ &-t-!)
~ew
C,tv'I"7
S-yfV-Jc.-~
Memorandum
TO: Danette Moore
FROM: Robert D. Hutchins
RE: Site plan review for Paws & Pals building
Following are the results of the preliminary Site plan review for the Paws & Pals
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:
.(!)Provide a Post Indicator Valve (PIV) on sprinkler supply line into buildings. Locate a
minimum distance away the height of the building.
f-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.
~ Fire department Siamese connection and enunciator panels to be located by front
l ~ entrance. One fire hydrant must be located within 150 feet of the Fire Department
~
Siamese connection.
GJlf provided, indicate means of lawn irrigation. May use separate service and metering
for billing purposes.
~Accessible parking stalls to be 20 feet in depth dimension. MSBC 1341.0428Subpart 6.
~rovide monument drawings.
The following are building plan comments:
~ Submit signed HV AC, plumbing, fire/smoke alarm, emergency lighting/exit signs and
sprinkler plans. May be submitted at a later date.
~. ubmitsignedaCertificateofSurvey. ~ ~ ~LJ~ { -~ ~>
(VSubmit a soils report.
ftrovidC address mnnbers on building. IFe 505.
J:\BUILDING\LETRMEMO\Paws & Pals\DRC Paws&palssite.DOC
11. How is E.F.I.S. attached to wall panels?
~. Submit a layout of the interior Kennels with aisle dimensions.
~ Submit the signed Special Structural Testing and Inspections Schedule. IBC 1704.1.
See enclosed.
@ Provide detail of lawn sprinkler service stub valve and backflow prevention details.
~ Provide HDCP signage details. ~\J ~ONYi.
'b6' Ventilation for the building must meet IBC chapter 12. Provide 15 CFM of
/ "'-ventilation per occupant.
~Provide fire extinguishers minimum 2AI0BC rated, within 75 feet travel distance of
t~~ all areas. IFC 906.
01 18. Provide approved key box to be installed in accessible location per IFC Section 506.
Obtain order forms from the Building Inspection Department.
~~\.re
\.t0€O
This is a preliminary review only. Other code items may be addressed when the final
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.
2
.......AMeON
DESIGN/BUILD I CONSTRUCTION MANAGEMENT I GENERAL CONTRACTING
17 December 2004
City of Prior Lake
16200 Eagle Creek Avenue SE
Prior Lake, MN 55372
Attn: Danette M. Moore
RE: Paws & Pals Pet Resort, Industrial Lane, Prior Lake, MN 55372
Dear Ms. Moore:
We have received the Engineering Comments dated November 12,2004 and Site Plan
Review Comments dated November 23,2004. All comments will be addressed in this letter and
in the revised construction documents submitted with this letter. We are addressing the
comments as follows:
ENGINEERING COMMENTS:
Site Work and Grading
1. Contact and phone number of the person responsible for erosion control is as
follows:
Mark Indrelie, Amcon field superintendent
(952) 200-4702
2. The handicapped ramp location and detail to be shown on Civil drawings. Location
and detail also indicated on Architectural drawings.
3. Flat area along north curb line by overhead door will be corrected.
4. Entrance to site to be from Industrial Lane, access from Adelmann Street has been
removed.
5. Sections through pavement and entrance to be provided.
Utilities
1. Sanitary manhole to be provided at easement line.
SITE PLAN REVIEW COMMENTS:
Site Comments
1. Post Indicator Valve (PIV) has been located on site plan near southwest comer of
building.
2. "No Parking Fire Lane" sign has been added to site plan along west side of building.
3. Fire department Siamese connection has been added to west side of building. One
fire hydrant will be located within 150 feet of Siamese connection.
4. Lawn irrigation plans provided. See sheet L2.0.
5. Accessible parking stalls have been revised to be 20 feet in depth.
6. Monument sign to be provided by owner.
1715 Yankee Doodle Road, Suite 200 I Eagan, Minnesota 55121-1616 I Tel: 651.379.9090 I Fax: 651.379.9091
Email: custserv@amconconstruction.com I Website: www.amconconstruction.com
Building Plan Comments
7. Signed HV AC, plumbing, fire/smoke alarm, emergency lighting/exit signs and
sprinkler plans to be submit upon receipt of drawings from design/build
subcontractors.
8. Signed Certificate of Survey to be provided.
9. Soils Report to be provided.
10. Address number locations noted on exterior elevations on sheet A4.0.
11. Attachment of Exterior Insulation Finish System (EIFS) is noted on details on sheet
AS.I.
12. Layouts of interior kennels, including aisle dimensions, have been included on sheet
A3.1.
13. Special Structural Testing and Inspections Schedule to be provided.
14. Details of lawn sprinkler service stub valve and backflow prevention to be provided.
See sheet L2.0.
15. HDCP signage details provided on sheet A2.0 and A3.0.
16. Building ventilation to meet IBC chapter 12 requirements. 15 CFM of ventilation to
be provided per occupant.
17. Fire extinguishers have been added to the floor plan on sheet A3.0.
18. Fire department lock box has been located on sheet A3.0. Order forms will be
obtained from the Building Inspections Department.
I hope that these responses and the enclosed documents adequately address your
comments regarding our development plans for this property. Please let me know if you require
any additional information or clarification. Thank you.
Sincerely,
~AM. N. C.ONSTRUCTI
. 1 ,
, r, /
anc; J.~f
cc: Jeremy Wedel, Mark Huus
Ene!.
Amcon Construction Co., LLC
~.)--~os-
BRAUN
INTERTEC
Letter of Transm ittal
Client: Amcon Construction Company,LLC
Braun Intertec Project No: BL-05-00055 Transmittal No:
To:
Mr. Mike Gleason
City of Prior Lake
16200 Eagle Creek Avenue Southeast
Prior Lake, MN 55372-1714
From: Braun Intertec Corporation
2101 Heron Way
Suite 101
Re: Paws and Pals Building, Adelmann Street, Prior Lake, MN
This Transmittal is being Sent:
_ For your approval
_ As requested
-L For your records
For review
Information Sent
Concrete Tests
Reference Numbers
Sets 3 and 4
Comments/Clarification
5/20/05
I Transmittal List
Amcon Construction Company,LLC
City of Prior Lake
Larson Engineering of Minnesota
I Information Sent
Concrete Tests
Concrete Tests
Concrete Tests
Signature:
Sent By:
Phone:
-::!:::;;n Y dL It/-.
952-469-3644
Rev. 8/6/04
. Providing engineering and environmental solutions since 1957
BRAUN
I NTf RTfe
Compressive Strength of Concrete Cylinder
Test Method: ASTM C39, 6x12 Cylinder
Report Date: 5/16/05
Work Order: 0502320
Client:
Matt Knutson
Amcon Construction Company,LLC
1715 Yankee Doodle Road, Suite 200
Eagan,1fN 55121-1616
Project: BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, 1fN
Field Test Conditions and Results
Set Number:
Date Cast:
Time Cast:
Date Received:
Measured Slump (in.): (ASTM C143)
Measured Air (%): (ASTM C231)
Concrete Temp. (OF): (ASTM C 1064)
Air Temp. COF):
Liquid Added On Site:
Pour Location:
Sample LocationINotes:
3
4/15/05
7:05 am
4/18/05
6
2.3
66
44
1/2 gallon plasticizer
Slab on grade, grid 1.5-A.2
NA
Mix Design:
Supplier:
Specified Air (%):
Specified Strength (psi):
Truck Number:
Ticket Number:
Cylinders per Set
Cylinders Cast By:
4061S
Cemstone
Not Req.
3000
NA
567/982502
4
GJP/Braun
Compression Test Results
Field Lab Test Max. Cylinder Cylinder
Cure Cure Age Load Diameter Area Strength Fracture Capping Remarks
Sample No. (days) (days) (days) (pounds) (in.) (sq. in.) (psi) Type Method * Code(s)
3-01 3 4 7 164100 6.00 28.27 5,800 D N D2
3-02 3 25 28 206340 6.00 28.27 7,300 B N E1
3-03 3 25 28 207280 6.00 28.27 7,330 C N E1
* Capping Method: N = ASTM C 1231, Unhonded Caps S = ASTM C617, Sulfur Caps
Break Remarks: D2
E1
The 7 day test result meets or exceeds the 28 day specified strength.
The average 28 day test result meets or exceeds the specified strength
TYPES OF FRACTURE
~[J[;J00]
ABC D E
Cone Cone Cone Shear Columnar
& &
Split Shear
~/) '. ~,..,
1'-1~ (iC-
t, r-t:e' Y. /i at.\>-
Robert D Anderson
BRAUN
J NTE RTEC
Compressive Strength of Concrete Cylinder
Test Method: ASTM C39, 6x12 Cylinder
Report Date: 5/16/05
Work Order: 0502321
Client:
Matt Knutson
Amcon Construction Company,LLC
1715 Yankee Doodle Road, Suite 200
Eagan,~ 55121-1616
Project: BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, ~
Field Test Conditions and Results
Set Number:
Date Cast:
Time Cast:
Date Received:
Measured Slump (in.): (ASTM C143)
Measured Air (%): (ASTM C23l)
Concrete Temp. (OF): (ASTM C 1064)
Air Temp. COF):
Liquid Added On Site:
Pour Location:
Sample Location/Notes:
4
4/15/05
8:35 am
4/18/05
51/2
3.1
64
45
1 gallon plasticizer
Slab on grade, grid B.7, 1.5
NA
Mix Design:
Supplier:
Specified Air (%):
Specified Strength (psi):
Truck Number.
Ticket Number:
Cylinders per Set:
Cylinders Cast By:
4061S
Cemstone
Not Req.
3000
NA
724/982699
4
GJP/Braun
Compression Test Results
Field Lab Test Max. Cylinder Cylinder
Cure Cure Age Load Diameter Area Strength Fracture Capping Remarks
Sample No. (days) (days) (days) (pounds) (in.) (sq. in.) (psi) Type Method * Code(s)
4-01 3 4 7 13 7260 6.00 28.27 4,850 D N D2
4-02 3 25 28 179220 6.00 28.27 6,340 D N El
4-03 3 25 28 186380 6.00 28.27 6,590 D N El
* Capping Method: N = ASTM C1231, Unbanded Caps S = ASTM C617, Sulfur Caps
Break Remarks: D2
El
The 7 day test result meets or exceeds the 28 day specified strength.
The average 28 day test result meets or exceeds the specified strength
TYPES OF FRACTURE
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WALL CONSTRUCTION:
E.I.F.S., INSTALLED PER MANUF. SPEC.
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PIMA I Technical Bulletin
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PIMA I TECHNICAL BULLETIN 104
FIRE PERFORMANCE IN ROOF SYSTEMS
Polyiso roof insulation represents over 50% of all insulation used in new roof constructiQn and at least 40% of all insulation used in
re-roofing applications.
Polyiso insulation, introduced over 20 years ago, gained acceptance by the construction industry primarily because of its excellent
R-value and superior performance in fire tests. It offered a cost-effective product since it was approved for installation directly to the
steel roof deck, i.e., without the need for a thermal barrier.
Polyiso insulation presents many superior features that designers need when specifying insulation for use in roof systems:
. Excellent fire test performance
. Dimensionally stable
. Preferred compressive strength
. Moisture resistance
. Extensive building code approvals
. Cost effective insurance ratings
. Superior R-value and thermal performance
. Unaffected by commonly used construction adhesive and solvents
Because of continuous improvement in the product and years of rigorous testing, POL YISO OFFERS THE MOST EXTENSIVE
RANGE OF CODE APPROVALS FOR INSULATION USE IN ROOF SYSTEMS. It remains the only foam plastic insulation product
for direct application to steel deck to eam FM Approval for Class 1 Roof Systems. Polyiso is also classified by UL for use in roof
systems with direct-to-steel-deck applications of foam plastic insulation under both single-ply and asphalt-based roof coverings.
Polyiso Insulation is the Best Choice for Roof Systems
Po/yiso is Used in All Types of Roof Systems
For new construction or re-roof projects, polyiso is the only foam plastic insulation that is used in all types of roof systems:
. Built-up Roofs: Polyiso has high-temperature stability and will not melt like thermoplastic insulation when hot mopped with asphalt.
. Modified Bitumen Roofs: Polyiso performs successfully in modified bitumen systems, which are attached with high temperature
methods or with hot asphalt.
. Bitumen Roofs: Polyiso performs successfully in modified bitumen systems, which are attached with high temperature methods or
with hot asphalt.
. Singly-ply Roofs: POlyiso can be used in all three types of single-ply systems: loose-laid ballasted, fully adhered, and
mechanically attached. Polyiso is unaffected by properly applied construction adhesives and can be used without the need for a
cover board.
. Metal Roofs: Polyiso has excellent dimensional stability, which is important for these systems.
It is best to consult the specific polyiso manufacturer for its list of approvals for use in the desired system.
Po/yiso is Easy to Specify
Polyiso insulation meets the requirements of ASTM C1289 Standard SpeCification for Faced Rigid Cellular Polyisocyanurate
Insulation Board. By specifying insulation products for the roofing system with ASTM C1289, you can be assured that you have the
best insulation product for the project
1.Z.-1
The Importance of Building Codes in Construction
Building codes are in place to provide a means to safeguard life and to protect the public welfare through regulating the design,
construction practices, construction material quality (including fire performance), location, occupancy, and maintenance of buildings
and structures. When regulating materials. many of the model building codes refer to quality standards developed by
standard-setting organizations such as the American Society for Testing and Materials (ASTM). Some building codes and insurance
rating organizations also rely on test information from Factory Mutual Research (FM) and Underwriters laboratories Inc. (Ul).
Foam Plastic Insulation and Building Codes
The three model building codes-ICBO, BOCA, and SBCCI-include a specific section pertaining to the safe use of foam plastics in
construction.
Generally, the codes require that the foam core have a flame spread rating of 75 or less and a smoke development rating of 450 or
less, when tested in accordance with ASTM E84. Further, all foam plastics must be separated from the interior of a building by an
approved thermal barrier such as 1/2 inch gypsum board. For roofing applications, the smoke development rating does not apply.
The elimination of the thermal barrier is allowed only under very specific conditions.
Direct Application of Foam Plastic Insulation to Steel Decks
Polyiso is still the only foam plastic insulation product to have direct-to-steel-deck approvals from both FM and UL. FM approval for
Class 1 roof systems was granted by passing FM 4450 and Ul approval was earned by passing Ul1256. Both of these tests are
specifically referenced in many building codes.
For example, in the BOCA National Building Code (Section 2603.4.1.5), the requirements for a thermal barrier: "are not applicable to
foam plastic roof insulation used in roof deck construction that complies as an assembly with FM 4450 or Ul1256. For all roof
applications, the smoke developed rating shall not be applicable."
Both SBCCI and ICBO have similar requirements. Polyiso insulation first successfully passed Ul1256 over 15 years ago and today
satisfies the major share of the market's demand for "direct-to-steel-deck" applications.
Importance of FM 4450 Calorimeter Test and UL 1256 Resistance to Interior Fire Spread Test
The spread of fire on the underside of a roof deck is a concern when buildings have large, open interior space, such as a warehouse
or manufacturing faCility. The two fire tests used by code bodies to evaluate the spread of fire in this manner are FM 4450 (also
called the FM Calorimeter Test) and UL 1256 (also known as the Resistance to Interior Fire Spread Test). While both tests evaluate
the entire roof assembly from deck to roof covering, the test conditions and test pass criteria are very different:
FM 4450
UL 1256
Exposed Sample Size
Test Duration
4 feet x 4 feet
1.48 feet x 24 feet
30 minutes
30 minutes
Fuel Source/Rate
(Btu/min.)
Heptane/Propane / 26,400
Natural Gas / 5,000
Temperature @ 10
minutes
1500 degrees F
580 degrees F
Temperature @ 30
minutes
1600 degrees F
NA
Pass Criteria
No extemal flaming; no
dropping of flaming particles
into the furnace
Flame spread @ 10min. less than 10 feet; 30
mins. flame spread less than 14 feet; subjective
on thermal degradation and "combustive"
damage
Pass Criteria, Maximum
Fuel Contribution
(Btu/ft2/min.)
3 minutes 410
5 minutes 390
10 minutes 360
30 minutes 285 (avg.)
NA
The POlyisocyanurate Insulation Manufacturers Association (PIMA) produces technical bulletins in an effort to address frequently
asked questions about polyiso insulation. PIMA's technical bulletins are published to help expand the knowledge of specifiers and
contractors and to build consensus on the performance characteristics of polyiso. Individual companies should be consulted for
;.%-2-
specifics about their respective products.
The POlyisocyanurate Insulation Manufacturers Association (PIMA) is the North American trade association that advances the use of
polyisocyanurate (polyiso) insulation. Polyiso is one of the nation's most widely used and cost-effective insulation products available.
PIMA's membership consists of manufacturers of polyiso insulation and suppliers to the industry. Our members account for a
majority of all of the polyiso produced in North America.
Copyright @ 2004 . All Rights Reserved.
The Polyisocyanurate Insulation Manufacturers Association
" ,,~"3
02-05 10:56 AM LA
6514880534
P.01
2025 Centre Poinlo Boulevard
Sulle .300
Mendola Helgnts, MN 55120
Phone: (651) 6S8-9118
Fax: (651)688-9164
Twin City Concrete .
Products
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02-05 10:56 AM LA
6514880534
P_02
STOAK'"
Materials Technology
DATE: September 2. 2004
Stork Twin City Testing Corporation
Material Testing' Non-Destructive Testing
Product Evaluetion . Construction Meterials
TO:
Mr. Parvlz Ghazl
Twin City Concrete Products
2025 Centre Polnte Blvd. Su:ta 300
Mendota Heights, MN 55102
Telephone : (851) ~r..3e01
Telefllx : (861) 8SIH3-1B
Wllbslte : wwwltorldct.com
862 Cromwell Avenue
SI. Paul. MN 55114
USA
PROJECT: SHEAR STRENGTH OF STONE
VENEER MORTAR MIX
PROJECT NO.:
,PAGE:
324014
1 of 2
SHEAR BOND STRENGTH TESTING OF MORTAR
INTRODUCTIOli:.
This report presents the results of laboratory testing work performed by our firm on a mortar mIx
design submitted by Mr. Parvis Ghazlcf Twin Ci~y Concrete Products on May 21,2004. Our
work was requested and authorized by Mr. Parvis Ghazi of Twin City Concrete Products on May
21,2004. '
SUMMARY OF TEST RESULTS:
A summary of our test results Is as follows:
7-Day Shear Bond Strength
Average Load @ Failure, (psi):
28-Day Shear Bond Strength
Average Load @ Failure'- (psi):
253.3
26'3.7
SAMPLE DESCRIPTION:
On May 21. 2004 samples of stone veneer and the mortar Ingredients were submitted to TCT for
testing.
Water:
Flow:
Yield:
500 ml/3000 grams of dry material
144 %
0.67 ft3 I 80 Ibs. bag
TEST PROCEDURES:
Testing was performed on July 19, 2004 and subsequent dates using applicable portions of
ASTM:C 482, "Standard Test Method for Bond Strength of Ceramic Tile to Portland Cement
Paste". ' ,
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Stork Twin Clly "esling Corporavon I' in cPll'",;ng unit of Stoik Meteriels r,eh:1ology BY, Ams\Qrdarn, The
NelMrlandfil. ..nl!;h IS 6 member d tho S~l)(k group
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-02-05 10:57 AM LA
6514880534
P.03
STCR~'~
Materials Technology
Stork Twin City Testing Corporation
PROJECT NO: 324014
DATE:
PAGE:
September 2, 2004
1 0 f 2
SHEAR BOND STRENGTH TESTING OF MORTAR
TEST RESULTS-=.
7-0ay Shear Bond Strength
SSlmple #
A
B
C
Bonding
Area. in2
Load @
Failure. Ibf
Shear Bond
Strength. Dsi
9.00
9.00
9.39
1803
2465
2684
200.3
273.9
285.8
Average
253.3
2B-Day Shear Bond Strength
Bonding Load @ Sheer Bond
Sample # Area. in2 Failure. Ibf Strenoth. osi
A 9.00 2421 269.0
B 9.17 2475 269.9
C 9.16 2310 252.2
Average 263.7
REMARKS:
When tested in accordance with ASTM:C482 this mortar meets the shear strength requirements
as stated In Section 1405.9.1 of the 2000 I nternational Building Code. Unless further Information
is received, the samples will be retained for a period of two weeks and discarded. Should you
have any questions concerning this report, or if we may be of further assistance, please contact
us at (651) 659-7420.
STORK TWIN CITY TESTING CORPORATION
Jtt~1:-
Engineering Assistant
Construction MaterIals Department
\llWINCITIES_NW~\SYS\BMC\2004CME\324014\Report doc
~~.
Thad Harnois, P.E.
Staff Engineer
Construction Materials Department
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02-05 10:57 AM LA
6514880534
P.04
..... l'
STORI~")
Twin City Testing Corporation
TO:
662 Cromwell Avenue, 51. Paul, MN 55114-1776
(551) 645-3601, Fax: (651) 659-7348
DATE: November 29,2001
REVISED: June 4, 2002
PROJECT NO: 031509
Mr. Parvlz Ghazi
Spec Mix1 Inc.
1370 Troutbrook Circle
St. Paul, MN 55117
PROJECT: PRODUCTION TESTING OF
STONE VENEER AND MORTAR MIX
TESTING OF STONE VENEER AND MORTAR MIX
INTRODUCTION:
This report presents the results of our laboratory testing of mortar mix manufactured by Spec Mix,
Inc. and stone veneer manufactured by Boulder Creek Stone Company. Our work was requested
and authorized by Mr. Parviz Ghazi of Spec Mix, Inc. on September 28, 2001. The scope of our
testing was as follows:
1. Perform laboratory testing of the mortar mix and stone veneer according to ICBO
Acceptance Criteria For Precast Stone Veneer (AC51) for comparison In shear bond.
2. Prepare a written report stating whether the product meets the applicable portions of
AC51 for the areas tested.
SUMMARY OF TEST RESUL T~:
The following Is a summary of the test results:
~ Stone Veneer
ICBO AC51
Reauirements
Shear Bond without Scratch Coat, psi 86
Shear Bond with Scratch Coat, psi 68
Shear Bond wIth Scratch Coat
and Lath on eMU Wall, psi 57
Shear Bond with Scratch Coat
and Lath on Wood Frame Wall, psi 51
Based on our test results the Spec Mix, Inc. material, when used with the Boulder Creek Stonel
meets the requirements of ICBO AC51
50
50
50
50
JEST PROCEDURE~:
The tasting was initiated on October 31,2000 and subsequent dates using applicable portions of
the above.referenced ICBO Acceptance Criteria AC51 (Section V. Test Program). Based on our
understanding of Section V, the comparatIve test procedures are those that are outlined as follows;
A. Shear bond tests were performed in accordance to ASTM:C482, "Standard Test Method for
Bond Strength of Ceramic Tile to Portland Cement."
1/'l1("nlill't~lllM Aler8J'\~IlIS in Ihl, rap"r' al9 de,-i""" I,,,m m~19r191 'nlomlSllon andlo, .PQ"I,c~lIO"" flJ'nlen9~ O'JI tno clion' ~"d .,clod. any e.p,eDes" Of ~P1led WIIrrent'lla a9 10
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-02-05 10:58 AM LA
6514880534
P.05
PROJECT NO: 031509
DATE:
REVISED:
PAGE:
November 29,2001
June 4, 2002
2
TESTING OF STONE VENEER AND MORTAR MIX
STONE VENEER MATERIALS:
Stone Veneer Mixture
Mix Number
Mixture Time
Cement Content, Ibs
Slump, in.
Aggregate, gal. (3/8)
Air Content, %
Admixtures;
High Early, oz.
N (water reducer), oz.
Super Plasticizer, oz.
Air, oz.
Water, gal
1
5 minutes
100
5
70
3
20
4
6
1.5
7
Materials
Cement
Aggregate
High Early
Water Reducer
Super Plasticizer
Air Entrainment
Holnam Type I Portland Cement
Argolyte, 3/8" Clay Aggregates
PDA High Early 202
Pro-Krete N-3
PSP-N
For-Air
Spec Mix, Inc. Material
Cement
Masonry Sand
1 Part. Holnam Type 1
2 Parts - Cemstone
TEST RESUL T~:
Stone Veneer Test Data
Shear Bond - ASTM:C482
Mix Number: 1 1
Width, In: 6.0 6.0
Depth. in: 6.0 6.0
Air Cured, days; 27 27
Age of semple at test, days: 28 28
Wall Type (CMUlWood): eMU CMU
Scratch coat (Yes/No): No No
Lath (Yes/No): No No
Load at Failure, psi: 902 851
'100 percent failure between mortar bed and block.
2100 percent failure between stone and mortar
All of the samples were cast onto a standard 8 inch concrete masonry unit wall using the mortar
material submItted by Spec Mix, Inc.
1
6.0
6.0
27
28
eMU
No
No
932
1
6.0
6.0
27
28
eMU
No
No
80'
1
6.0
6.0
27
28
CMU
No
No
811
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hlltn_ of lhe mNrIllliIlIBd or lIt1Blyzlld lor II'l)/ lllI/1lOUllr PU/lIOU or UN. TnlB repon la 1/11 eonfld.nUaI properly of 0lJf eUan' It\tl m<<t nol bB used for lId"'~'lng lllJrllOMI.
TIlla t.po" .haU MOl be ,.ptOClUCtd '~OIP! In 'un, wnhoul wllllen apprOlltl 01 !hi. labor81ory The _Ing d '-lee, fjelllloua Ot fraudulenl a'"'''''.nll or envl.. on Ihle OOCIJI\'\1lI'\1
"'IV be IlUnl.,,1d lIS B '-I0I'l)I under Fldaral Slawlot lneludlng Federal Law TIlla 1 e, Chlpler 47
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-02-05 10:59 AM LA
6514880534
P.06
,""
,~~ ~~
PROJECT NO: 031509
DATE:
REVISED:
PAGE:
November 29,2001
June 4. 2002
3
TESTING OF STONE VENEER AND MORTAR MIX
rEST RESULTS: (cant.)
Mix Number: 1 1
Width, In: 6.0 6,0
Depth, In: 6.0 6.0
Air Cured, days: 27 27
Age of sample at test, days: 28 28
Wall Type (CMUIWood): eMU eMU
Scratch coat (Ves/No): Yes Yes
Lath (Yes/No): No No
Load at Failure, psi: 732 66'
1100 percent failure between mortar bed and scratch coat.
2100 percent failure between stone and mortar
1
6.0
6.0
27
28
eMU
Yes
No
701
1
6.0
6.0
27
26
CMU
Yes
No
651
1
6.0
6.0
27
28
eMU
Yes
No
622
All of the samples were cast onto a standard 8 inch concrete masonry unit wall using the mortar
material submitted by Spec Mix, Inc. The mortar bed and scratch coat were made from the
same materials.
Mix Number: 1 1 1 1 1
Width, in: 6.0 6.0 6.0 6.0 6.0
Depth, In: 6.0 6.0 6.0 6.0 6.0
Air Cured, days: 27 27 27 27 27
Age of sample at test, days: 28 28 26 28 28
Wall Type (CMUlWood): CMU CMU CMU CMU CMU
Scratch coat (Yes/No): Yes Yes Yes Yes Yes
Lath (Yes/No): Yes Yes Yes Yes Yes
Load at Failure, psi: 591 611 581 55' 52'
i 100 percent failure between mortar bed and scratch coat
All of the samples were cast onto a standard 8 inch concrete masonry unit wall using two layers
of number 15 felt and metal lath. The mortar material was submitted by Spec Mix, Inc. The
mortar bed and scratch coat were made from the same materials.
Mix Number: 1 1 1 1 1
Width. in: 6.0 6.0 6.0 6.0 6.0
Depth, In: 6.0 6.0 6.0 6.0 6.0
Air Cured, days: 27 27 27 27 27
Age of sample at test, days: 28 28 28 28 28
Wall Type (CMUlWood): Wood Wood Wood Wood Wood
Scratch coat (Yes/No): Yes Yes Yes Yes Yes
Lath (Yes/No): Yes Yes Yes Yes Yes
Load at Failure. psi: 531 551 50' 491 50'
1100 percent failure between mortar bed and scratch coat
Illfol'!llatlOn InCl o1818m,,",llln Itl!I I'tIlOrl I,. derived frwn IT\&'-ri~. Infl),,,,.'lon ancl'or IplC"iOlllona lumlohed by lhe o~."t and _'ude 8f1~ fliP""" OIlmpJJ'" wDIl'I/'lU.... to
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-02-05 10:59 AM LA
6514880534
P.07
PROJECT NO: 031509
DATE:
REVISED:
PAGE:
TESTING OF STONE VENEER AND MORTAR MIX
November 29. 2001
June 4, 2002
4
TEST RESULTS: (cant.)
All of the samples were cast onto a standard B inch wood frame wall using two layers of number
15 felt and metal/ath. The mortar material was Submitted by Spec Mix, Inc. The mortar bed and
scratch coat were made from the same materials.
REMARKS:
The samples were discarded at the completion of testing. If you have any questions about this
report, please feel free to contact us at (651) 659-7340.
TESTING CORPORATION
John D. lee, ~.E.
Senior Staff Engineer
Construction Materials Department
F:\BMCI2001 CMEIOJ1 ~09IR.port.doc
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.
BRAUN
INTERTEC
Braun Intertec Corporation
21021 Heron Way
Suite 10 i
Lakeville, MN 55044
Phone 9524693644
Fax: 952.469.8599
Web: brcuninrertec.corr;
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
Report Date: 4/20/05
Client:
Mr. Matt Knutson
Amcon Construction Co" LLC
1 715 Yankee Doodle Road
Suite 200
Eagan,MN
Project No.:
Project Desc:
BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, MN
55121-1616
Field Test Conditions and Results
Set Number: 1 Mix Design:
Date Cast: 3/23/2005 Supplier:
Time Cast: 1 :45 P ,M, Specified Air (%):
Date Received: 3/25/2005 Specified Strength (psi):
Measured Slump (in,): (ASTM C 143) 5 Ticket Number:
Measured Air (%): (ASTM C 231) 2.1 Cylinders per Set:
Concrete Temp COF): (ASTM C 1064) 68 Cylinders Cast By:
Air Temp (OF): 45
Liquid Added On Site: None
Sample Location: Perimeter footings, gridline C.2-3
3057
Cemstone
Not Req.
3000
172
5
RDA/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 2 3 5 66130 6,00 28,27 2340 D N A
1B 2 5 7 91140 6,00 28.27 3220 D N D
1C 2 26 28 122380 6.00 28.27 4330 D N E
1D 2 26 28 130920 6,00 28,27 4630 D N E
IE 2 33 35H
* Capping Method: N=ASTM C 1231, Unbanded Caps S=ASTM C 617, Sulfur Caps.
Break Remarks: A Result is reported per contractor request.
D The above 7 day test result meets or exceeds the specified strength.
E The average 28 day test result meets or exceeds the specified strength.
General Remarks:
Copies to: Mr, Mike Gleason; Bldg Inspections Dept, City of Prier Lake
Mr. Kesh Ramdular; Larson Engineering of Minnesota
TYPES OF FRACTURE
~Q;J~B[]
ABC 0 E
Cone Cone & Cone & Shear Columnar
Split Shear
'4~--=rl>< .~
Robert D, Anderson, EIT
Senior Engineering Assistant
. Providing engineering and environmental solutions since 1957
.
BRAUN
I NTE RTEC
Braun Intertec, Corporation
2102! Heron Way
Suite 101
Lckeviile, MN 55044
Phone 952,4693644
Fox 952,4698599
Web: braunintertec.com
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
Report Date: 4/21/05
Client:
Project No,:
Project Desc:
BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, N1N
Mr, Matt Knutson
Amcon Construction Co" LLC
1715 Yankee Doodle Road
Suite 200
Eagan,MN
55121-1616
Field Test Conditions and Results
Set Number: 2 Mix Design:
Date Cast: 3/24/2005 Supplier:
Time Cast: 1 :30 P ,M, Specified Air (%):
Date Received: 3/28/2005 Specified Strength (psi):
Measured Slump (in.): (ASTM C 143) 4 1/2 Ticket Number:
Measured Air (%): (ASTM C 231) 2.0 Cylinders per Set:
Concrete Temp (OF): (ASTM C 1064) 68 Cylinders Cast By:
Air Temp (OF): 44
Liquid Added On Site: None
Sample Location: Perimeter footing, gridline B.3-1
3057
Cemstone
Not Req.
3000
172
4
RDA/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)
2A 4 3 7 72380 6.00 28.27 2560 D N B
2B 4 24 28 126120 6.00 28,27 4460 C N E
2C 4 24 28 129380 6,00 28,27 4580 C N E
2D 4 31 35H
* Capping Method: N=ASTMC 1231, Unbonded 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: Mr. Mike Gleason; Bldg Inspections Dept, City of Prior Lake
Mr, Kesh Ramdular; Larson Engineering of Minnesota
TYPES OF FRACTURE
~~0B[]
ABC D E
Cone Cone & Cone & Shear Columnar
Split Shear
~'b.~~'
Robert D, Anderson, EIT
Senior Engineering Assistant
. Providing engineering and environmental solutions since 1957
BRAUr+~
INTERTEC
Braun Intertec Corporation
21021 Heron Way
Suite 101
Lakeville, MN 55044
Phone 952.4693644
Fax 9524698599
Web: braunintertec.com
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
Report Date: 4/22/05
Client:
Project No,:
Project Desc:
BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, MN
Mr, Matt Knutson
Amcon Construction Co., LLC
1715 Yankee Doodle Road
Suite 200
Eagan, MN
55121-1616
Field Test Conditions and Results
Set Number: 3 Mix Design:
Date Cast: 4/15/2005 Supplier:
Time Cast: 7:05 A,M. Specified Air (%):
Date Received: 4/18/2005 Specified Strength (psi):
Measured Slump (in,): (ASTM C 143) 6 Ticket Number:
Measured Air (%): (ASTM C 231) 2.3 Cylinders per Set:
Concrete Temp COF): (ASTM C 1064) 66 Cylinders Cast By:
Air Temp (OF): 44
Liquid Added On Site: 1/2 gallon plasticizer
Sample Location: Slab on grade, grid l,5-A,2
4061S
Cemstone
Not Req.
3000
567/982502
4
GJP/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?) (psi) Type Method * Code( s )
3A 3 4 7 164100 6.00 28.27 5800 D N D
3B 3 25 28
3C 3 25 28
3D 3 32 35H
* Capping Method: N=ASTMC 1231, Unbonded Caps S=ASTMC 617, Sulfur Caps.
Break Remarks: D The above 7 day test result meets or exceeds the specified strength.
General Remarks:
Copies to: Mr. Mike Gleason; Bldg Inspections Dept, City of Prior Lake
Mr, Kesh Ramdular; Larson Engineering of Minnesota
TYPES OF FRACTURE
~Q;J~B[I]
ABC D E
Cone Cone & Cone & Shear Columnar
Split Shear
'4-i t>. ~/~----
Robert D, Anderson, EIT
Senior Engineering Assistant
. Providing engineeTing and environmental solutions since 1957
.
BRAUN
INTERTEC
Braun Intertec Corporation
21021 He'on Way
Suite 101
lokeville, MN 55044
Phone 9524693644
Fax: 952,469,8599
Web' braunintertec.com
Compressive Strength of Concrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
Client:
Report Date: 4/22/05
Mr. Matt Knutson
Amcon Construction Co" LLC
1715 Yankee Doodle Road
Suite 200
Eagan,MN
Project No,:
Project Desc:
BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, MN
55121-1616
Field Test Conditions and Results
Set Number: 4 Mix Design:
Date Cast: 4/15/2005 Supplier:
Time Cast: 8:35 A,M, Specified Air (%):
Date Received: 4/18/2005 Specified Strength (psi):
Measured Slump (in.): (ASTM C 143) 5 1/2 Ticket Number:
Measured Air (%): (ASTM C 231) 3.1 Cylinders per Set:
Concrete Temp COF): (ASTM C 1064) 64 Cylinders Cast By:
Air Temp (OF): 45
Liquid Added On Site: 1 gallon plasticizer
Sample Location: Slab on grade, grid B.7, 1.5
Sample No,
4A
4B
4C
AD
Field
Cure
(days)
3
3
3
3
4061S
Cemstone
Not Req.
3000
724/982699
4
GJP/Braun
Lab
Cure
(days)
4
25
25
32
Compression Test Results
Cylinder Cylinder
Diameter Area
(inches) (in,2)
6.00 28,27
Remarks
Code(s)
D
Test
Age
(days)
7
28
28
35H
Max Load
(pounds)
137260
Strength Fracture
(psi) Type
4850 D
Capping
Method *
N
* Capping Method: N=ASTM C 1231, Unhonded Caps S=ASTM C 617, Sulfur Caps.
Break Remarks: D The above 7 day test result meets or exceeds the specified strength,
General Remarks:
Copies to: Mr. Mike Gleason; Bldg Inspections Dept, City of Prior Lake
Mr, Kesh Ramdular; Larson Engineering of Minnesota
TYPES OF FRACTURE
~Q;J0Bn]
ABC D E
Cone Cone & Cone & Shear Columnar
Split Shear
L(~:iJ> ,~'-'
Robert D. Anderson, EIT
Senior Engineering Assistant
. Providing engineering and environmental solutions since 1957
BRAUN
JNTERTEC
Braun Intertec Corporation
21021 Heron Way
Suite 101
Lokev;lle, MN 55044
Phone 9524693644
Fox 9524698599
Web: brounintertec.conc
Report of Field Compaction Tests
Date:
March 23,2005
Project: BL-05-00055
Report: 1
Client:
MY, Matt Knutson
Amcon Construction Company, LLC
1715 Yankee Doodle Road, Suite 200
Eagan,~ 55121-1616
Project Description:
Construction Materials Testing
Paws and Pals Building
Adelmann Street
Prior Lake, Minnesota
Max. Lab Inplace Specified
Soil Optimum Dry Density* Inplace Dry Relative Minimum
ID and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pet) (%) (pet) (%) (%) Comments
.-.-- __r ___ ~
1 3/23/05 N P-1: SP 11.1 120.7 7 118 98 98 A
2 3/23/05 N P-1: SP 11.1 120,7 6 118 98 98 A
3 3/23/05 N P-l: Sf 11.1 120,7 7 119 98 98 A
4 3/23/05 N P-1: SP 11.1 120.7 6 118 98 98 A
N = Nuclear, ASTM D 2922
SC= Sand Cone, ASTM D 1556
* = O.M, and M,L.D ,D, rounded to nearest 0,1
A = Test results comply with specifications,
B Test results do not comply with specifications,
C = Test results meet zero air voids criteria,
Test
Test Location
1
2
3
4
Foundation fill, building pad area, Gridline C.6 - 2,8
Foundation fill, building pad area, Gridline B.5 - 1.6
Foundation fill, building pad area, Gridline A.6 - 2,7
Foundation fill, building pad area, Gridline B,6 - 2.4
953
953
953
953
Technician: RDA
Elevation Reference:
c: Mr. Mike Gleason; Bldg, Inspections Dept., City of Prior Lake
Braun Intertec Corporation
J I es M, Samuelson
ssociate Principal
B10500055\cts-l
. Providing engineering and environmental solutions since 1957
BRAUN
INTERTEC
Braun Intertec Corporation
21021 GercnWcy
Sui'e 101
Lckeville, MN 55044
Phcne 9524693644
Fax 952.469.8599
Web: brounintertec.com
Report of Field Compaction Tests
Date:
April 11, 2005
Project: BL-05-00055
Report: 2
Client:
Mr, Matt Knutson
Amcon Construction Company, LLC
1 715 Yankee Doodle Road, Suite 200
Eagan,~ 55121-1616
Project Description:
Construction Materials Testing
Paws and Pals Building
Adelmann Street
Prior Lake, Minnesota
Max. Lab Inplace Specified
Soil Optimum Dry Density* Inplace Dry Relative Minimum
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pet) (%) (pet) (%) (%) Comments
5 4/11/05 N P-l: SP 11.1 120,7 5 120 100 95 A
6 4/11/05 N P-1: SP 11.1 120.7 5 120 100 95 A
7 4/11/05 N P-l: SP 11.1 120,7 4 125 103 95 A
8 4/11/05 N P-l: SP 11.1 120,7 7 123 102 95 A
9 4/11/05 N P-1: SP 11.1 120,7 6 121 100 95 A
N = Nuclear, ASTM D 2922
SC= Sand Cone, ASTM D 1556
* = O.M, and M,L.D.D, rounded to nearest 0,1
A
B
C
Test results comply with specifications,
Test results do not comply with specifications.
Test results meet zero air voids criteria,
Test Test Location
Elevation
5 Interior floor slab backfill, Grid B,5 - 2
6 Interior floor slab backfill, Grid A,3 - 2
7 Interior floor slab backfill, Grid A.1 - 1.5
8 Interior floor slab backfill, Grid B.4 - 2.6
9 Interior floor slab backfill, Grid C,7 - 2,8
953
953
953
953
953
Technician: JJ
Elevation Reference:
Mr, Mike Gleason; Bldg, Inspections Dept., City of Prior Lake
Braun Intertec Corporation
J mes M, Samuelson
'A.ssociate Principal
. Providing engineering and environmental solutions since 1957
BRAU~.J
I NTE RTEC
Braun Intertec Corporation
2' 021 Heron Way
Suite 101
lakeville, 1''11,1''': 55044
Phone 952469,3644
Fox 952,,169.8599
Web: brounintertec.com
Report of Field Compaction Tests
Date:
April 15,2005
Project: BL-05-00055
Report: 3
Client:
Mr, Matt Knutson
Amcon Construction Company, LLC
1715 Yankee Doodle Road, Suite 200
Eagan,~ 55121-1616
Project Description:
Construction Materials Testing
Paws and Pals Building
Adelmann Street
Prior Lake, Minnesota
Max. Lab Inplace Specified
Soil Optimum Dry Density* Inplace Dry Relative Minimum
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pet) (%) (pet) (%) (%) Comments
10 4/14/05 N P-1: SP 11.1 120.7 6 121 100 98 A
11 4/14/05 N P-1: SP 11.1 120,7 5 121 100 98 A
N = Nuclear, ASTM D 2922
SC= Sand Cone, ASTM D 1556
* = O,M, and M,L.D,D. rounded to nearest 0,1
A = Test results comply with specifications,
B Test results do not comply with specifications.
C = Test results meet zero air voids criteria,
Test Test Location
Elevation
10 Interior utility backfill, Grid C.5 - 1,5
11 Interior utility backfill, Grid B.8 - 1.5
953
953
Technician: JJ
Elevation Reference:
c: Mr. Mike Gleason; Bldg, Inspections Dept., City of Prior Lake
Braun Intertec Corporation
--.~
mes M. Samuelson
Associate Principal
. Providing engineering and environmental solutions since 1957
.
BRAUN
INTERTEC
Braun Intertec Corporation
2102 i Heron \Noy
Sui'e 101
Lckevi!!e, MN 55044
Phor,e 952.4693644
Fox 9524698599
We'cJ: brauninlertec.ccm
Report of Field Compaction Tests
Date:
Apri125,2005
Project: BL-05-00055
Report: 4
Client:
:MY, Matt Knutson
Amcon Construction Company, LLC
1715 Yankee Doodle Road, Suite 200
Eagan,~ 55121-1616
Project Description:
Construction Materials Testing
Paws and Pals Building
Adelmann Street
Prior Lake, Minnesota
Max. Lab Inplace Specified
Soil Optimum Dry Density* Inplace Dry Relative Minimum
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pet) (%) (pet) (%) (%) Comments
12 4/20/05 N P-2: SC 11.4 122.2 16 117 95 95 A
13 4/20/05 N P-2: SC 11.4 122,2 16 116 95 90 A
14 4/20/05 N P-2: SC 11.4 122.2 15 119 97 90 A
15 4/20/05 N P-2: SC 11.4 122,2 14 120 98 95 A
16 4/20/05 N P-2: SC 11.4 122.2 12 125 102 95 A
N = Nuclear, ASTM D 2922
SC= Sand Cone, ASTM D 1556
* = Q,M, and M.L.D,D, rounded to nearest 0.1
A = Test results comply with specifications,
B Test results do not comply with specifications.
C = Test results meet zero air voids criteria,
Test Test Location
Elevation
12 Utility backfill (exterior), 25'NW of SW building corner
13 Utility backfill (exterior), 60'N, 20'E of SW building corner
14 Utility backfill (exterior), 80'N, 35'E of SW building corner
15 Utility backfill (exterior), 30'S of east building corner
16 Utility backfill (exterior), 20'E of east building corner
950
950
950
949
950
Technician: 1MJ
Elevation Reference:
c: Mr. Mike Gleason; Bldg. Inspections Dept., City of Prior Lake
Braun Intertec Corporation
~
J es M, Samuelson
ssociate Principal
B10500055\cts-4
. Providing engineering and environmental solutions since 1957
F
\ " APR 7 2005
I
I
I --
\ ::1J: 050/05
Compressive Strength of~ffltcrete Cylinder
Test Method: ASTM C 39, 6 x 12 Cylinder
BRAUN
INTERIEC
Braun Intertec Corporation
21021 Heron Woy
SUlie 101
lakevil!e. MN 55044
Phone 9524693644
Fox 952.469.8599
Web: braunintertec.com
Report Date: 4/5/05
Client:
Project No,:
Project Desc:
BL-05-00055
Paws and Pals Building
Adelmann Street
Prior Lake, MN
Mr. Matt Knutson
Amcon Construction Co" LLC
1715 Yankee Doodle Road
Suite 200
Eagan,MN
55121-1616
Field Test Conditions and Results
Set Number: 1 Mix Design:
Date Cast: 3/23/2005 Supplier:
Time Cast: 1:45 P.M, Specified Air (%):
Date Received: 3/25/2005 Specified Strength (psi):
Measured Slump (in,): (ASTM C 143) 5 Ticket Number:
Measured Air (%): (ASTM C 231) 2.1 Cylinders per Set:
Concrete Temp (OF): (ASTM C 1064) 68 Cylinders Cast By:
Air Temp (OP): 45
Liquid Added On Site: None
Sample Location: Perimeter footings, gridline C,2-3
3057
Cemstone
Not Req.
3000
172
5
RDAlBraun
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 2 3 5 66130 6,00 28.27 2340 D N A
1B 2 5 7 91140 6.00 28.27 3220 D N D
1C 2 26 28
1D 2 26 28
1E 2 33 35H
* Capping Method: N=ASTM C 1231, Unbonded Caps S=ASTM C 617, Sulfur Caps,
Break Remarks: A Result is reported per contractor request.
D The above 7 day test result meets or exceeds the specified strength,
General Remarks:
TYPES OF FRACTURE
Copies to: Mr. Mike Gleason; Bldg Inspe<;tions Dept, City of Prior Lake
. Mr. Keili RamdulM; LMSon Engin=g of Minnesota ~
A
Cone
~0B[]
Arlt ;J'n,,,,i (!J S-aj'J
01-
BCD E
Cone & Cone & Shear Columnar
Split Shear
~,kht' V .A1(Q~
-----
S;;,-r\ (./ /50 ~
Robert D. Anderson,' EIT
Senior Engineering Assistant
:> Providing engineering and environmental solutions since 1957
~,,~'\""""'''f\'' Ma r. 25. 2005 8: 36AM
;;~~((~\)@:~:::i~~{~:;\~
l:l,~~;\~.~~~ "V1E;~,~
~,.\I',y,.."..:f..,"o\\I'o\~ .l"
Bra u n
No.3632
p.
BRAUN
INTERTEC
Fax Transmittal
To: Mike Peterson, Building Inspector, City of Prior Lake
Fax Number: 952.447.4245
From: Bob Anderson
Phone N um ber:
(952) 469-3644
Date: 3-25-05
Number of Pages (including cover): 7
These are all oftJle Daily Observation reports to date. Any questions please calL Thanks
~~4.--.
Bob Anderson
SRAGJN
lNTERTEC
bmUl1inlenec.cortl
tlrall" Interloc Corporation
2102' Hforon Way S'Jil1! 101
I (lkr,villa. MN ';:-0<1-1
Pl{!(I."iC ll/lvisc if you havi! received this communication in error.
Braun Iutt:rtec Corporation
21 02 1 Heron Way, Suite 101
Lakeville, MN 55044
Pbone: (952) 469-3644 Fax: (952) 469-8599
. Providing engineering and environmental solutions since J 957
Mar .25. 2005 8:36AM
8 r au n
No.3632 P.2
Page_ of_
BRAUN
INTERTEC
~o5"""C:X::C~~-
;:~~
P,ojed No.' .-~
Location: ~r.' a> " ~j, ~ J
Dote' 3-- ? G( - D~
Weather Conditions: r 5uV
DFNTSTEST
Rev 3/04
Doily Field Notes
c> 'ilient:
l Cvt.>
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Arrived On Site At:
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No, of Tests:
Starting Test No.:
Proctor Information:
Ending Test No:
Submitted To:
Performed By'
Temperatura:
T emperoture:
Temperature:
Temperature:
Temperature:
k.+~
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Concrete Testing
Date Cast: :::>' Z- L (
Set: L..A - P
Mix:
Supplier:
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Air: Slump:
Air: Slump:
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White copy to Broun Intertec file Blue copy to Project Site Representative
Mar.25. 2005 8:37AM Braun
No.3632 P. 3
BRAUN~M
I NTE RTEC
DAILY OBSERVATION REPORT
Project #~, BL- -D.5' -- 0::0 S- S
Location" Ve>.. '-~ J tt,- \! Bt.-o G-
Report #: >" 15 o'D~<v 11, ~ (~~
3- ~y -oS-
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Regular Overtime
Personnel Classification Hours Hours
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F' DAILY 1
Mar .25. 2005 8:37AM
Bra lj n
No.3632 p. 4
Poge_ of_
BRAUN
INTERTEC
DFNTSTEST
~3/(!1.
Daily Field Notes
A V'\~_Ci;A.../
fJ(' 'tJr
Report No.:
fiN
Location:
Date:
Weather Conditions:
Arrived On Site At:
(~f. ,I'1..;f Lfo'.s,
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No. of Tests:
Starting Test No.:
Proctor Information:
Submitted To:
Ending Test No. .
Performed By'
Concrete Testing
Dote Cost: 3.... G 3
Set: ) A. - ~
Strength~ 3c>cx::::;>
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Slump:
Slump:
Slump'
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Temperature:
Temperature:
Temperature:
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White copy to Braun /ntertec file. Blue copy to Projed Site Representative
Mar .25. 2005 8:37AM
Bra 1I n
No.3632 p. 5
Poge_ of_
BRAUN
INTERTEC
DFNTSTEST
R~", 2/04
Daily Field Notes
Proiect No.: PL -05'-c.:>G>o$>
Location' ' rl--5 ~ ?cvl..> ~L:P&-
Date: 3- 2..:> ~ D ')-
Weather Conditions: ~ s.~'f'V,.O
Client: A.1 ~6~ .
f? / / <.>/ L..-IAL _' fi1 vV'
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Submitted To:
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Date Cast.
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Slump:,
Slump;
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Slump:
Supplier'
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Temperature:
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Comments: ~ . 0
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Mar .25. 2005 8:37AM
Bra un
No.3632
p. 6
Page of
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JI"'II
I NTE RT~C,- _ t?:-- -;,.. oE5O~
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Project No,: !LZ:::
Locati on: .a . .j,.~.Y f"'" 0-rJ,J.s c-.Jt
3 - 2--1 - 6'-1
DFNTSTEST
~3/0.0l
Daily Field Notes
Report 0,:
~lJ- V\fI,
.I
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Weather Conditions: t<- <;.uV,d
Arrived On Site At-
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No. of Tests:
Starting Test No.:
Proctor Information:
Submiited To:
Ending Test No.:
Performed By:
Concrete Testing
Dote Cost:
Set:
Set:
Set:
Set.
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Slump:
Shimp:
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Slump:
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Supplier:
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White copy to Broun Intertec file Blue copy to Project Site Representatfve.
Mar.25. 2005 8:37AM Braun
No.3632 P.7
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~v' '- 3~" ~, DAILY OBSERVATION REPORT
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MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Paws & Pals, Adelmann Street and Industrial Boulevard, Prior Lake,
Scott County, Minnesota, Plan No. 052387
OWNERSHIP:
KTDG Development, LLC, 14817 Interlachen Lane, Bumsville, Minnesota 55306
SUBMITTER(S): Bredahl Plumbing Inc" 7916 73rd Avenue North, Brooklyn Park, Minnesota 55428
Plans Dated:
Date Received: February 3, 2005
Date Reviewed: February 24, 2005
SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the
Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which
this plumbing system is connected. The review is based upon the supposition that the data on which the design is
based are correct, and that necessary legal authority has been obtained to construct the project. The
responsibility for the design of structural features and the efficiency of equipment must be taken by the project
designer. Approval is contingent upon satisfactory disposition of any requirements included in this report.
Special care should be taken to insure that the material and installation of the plumbing system are in accordance
with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should
be retained at the project location for future reference.
A set of the identified plans and specifications is being returned to Bredahl Plumbing Inc.
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, ofthe 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).
2, Assuming a maximum developed length of pipe of 100 feet and a building water pressure at the meter
between 46 and 60 psi, and using Minnesota Rules, part 4715.3800:
a. The building supply line must be at least It/.! inches in size between the water meter and the cold water
distribution branch serving the mop sink,
3, Full-way valves must be provided at all locations described under Minnesota Rules, part 4715.1800,
including the following locations:
a, At the water service entrance to the building,
Paws & Pals
Plumbing
Plan No. 052387
Page 3
February 24, 2005
16. The plans and specifications were prepared by a licensed master plumber. The plumber who has prepared
the plans is the only one that can use the plans for construction. If another plumber is contracted to install
the plumbing, they must submit their own plans and specifications for the project.
NOTE(S):
1. The scope of this project consists of the construction of a new building. The plumbing installation includes
water closets, lavatories, an electric water cooler, a two-compartment sink, clothes washers, a mop sink, a
dog shower, hose bibbs, and floor drains.
2, This facility will be served by new municipal water and sewer services.
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean
that recommendations or requirements for change will not be made at some later time when changed conditions,
additional information, or advanced knowledge make improvements necessary.
A~L~L
Colleen A. Erickson
Public Health Engineer
Environmental Health Services Section
P.O, Box 64975
St. Paul, Minnesota 55164-0975
651/215-0839
CAE:sas
cc: BredaW Plumbing Inc. /
KTDG Development, LLC
Mr. Robert Hutchins, Plumbing fuspector
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January 10, 2005
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Danette Moore
16200 Eagle Creek Ave. S.E,
Prior Lake, MN 55372
Subject: Reply to site and building review comments,
Dear Danette,
I wanted to reply to your memorandum dated December 20, 2004.
Site Comments:
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Locate Post Indicator Valve (PIV) a minimum distance away the height of the building,
-(PIV) will be located the minimum distance behind the curb immediately after the tie in,
Revised drawings showing this will be resubmitted to the city,
If provided, indicate means of lawn irrigation. May use separate water service and
metering for billing purposes, Deduct meters not allowed.
-Due to the small size of landscaping that will require water, at this time the owner does
not plan to run a separate service and will run his irrigation off the main line,
Provide monument drawings.
-The monument sign will be by the owner and a separate drawing will be issued when
applying for signage permit.
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Building Comments:
~-v- , (J!) Submit a soils report.
f'~cfitJl0 -See attached Braun Intertec Report dated November 10, 2004,
~l7v ('Jir'P ___/-'('9 Submit the signed Special Structural Testing and Inspections Schedule, IBC 1704,1, See
~!\o "4 1'% enclosed,
NlJd)tJ -Scheduled has been submitted to Braun Intertec and will be submitted to the city prior to
~onstruction,
.~&~heet. L2.0: Provide detail lawn sprinkler service stub valve and backflow prevention
(:.IJI1A1/' details. RPZ not allowed,
-RPZ will not be used, A proper back flow preventor will be used and will be detailed on
/ the plumbers drawings when they apply for their plumbing permit.
~ 7, Provide fire extinguishers minimum 2A10BC rated, within 75 feet travel distance of all
areas, IFC 906. Provide an additional fire extinguisher by door 190D,
-Fire extinguishers will be placed according to code, An additional extinguisher will be
placed by door 190D, Amcon would like to walk the building with the fire marshal for all
final placements of extinguishers is;rear kennel area, .
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Project Manager : 1\
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Attachment: City of Prior Lake Memo dated 12/20/04
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1715 Yankee Doodle Road, SUite 200 1 Eagan, Minnesota 55121-1616 I Tel: 651379,9090 I Fax: 651,3799091
Email; custserv@amconconstructlon,com I Webslte: www.amconconstructlon.com
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A Summary ofExeavation Observations
and Compaction Testing Services for
Ameon Construction Company, L.L.C.
Paws and Pals Retail Building
Bloek 2, Lot 1
Deerfield Industrial P;uk
Prior Lake, Minnesota
Professional Certification:
f hereby ct.-rufy that this pbn, specitication
or report was prepared by me or under my
direct superVlsion and that T am a duly
Licensed Engineer under the laws of the
State of Mmncwta
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Associate - Senior Engineer
K<:gi.~tration Number' 2":017
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N()vcmb~r 10, 2004
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November 10,2004
PrOject A V -04-05153-B
Mr. Jeremy Wedel
Amcon Construction Company, LLC
1715 Yankee Doodle Road, Suite 200
Eagan, MN 55121-1616
Dear Mr Wedel'
Rc' Summary of ExcavatIon Observations and Comp<JctlOn Testing Services, Proposed Paws <Jno
Pals Retail BuildIng, Block 2, Lot 1. Deerfield Industrial Park, Pnor Like, Minne:.ot<J
ill accord<lnce with your request, we are submitting a summary of excavation ob~erv8.ti()ns and
compaction tcstmg services for Block 2, Lot 1 of Deertield Industrial Park The purpose of the
excavation ohservations was to aid in evaluating the suitability of Lhc ~oils cncountcrcd m the I.:XCaViJtJU!l
hottoms for fill and building support. The purpose of lhc cornpac\.lOn tesLlng was 10 aid m \:valuaIJn~ thl.:
engineered fill placed for budding support
Available Information
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Braun Inter-tee Corporation (Braun Intertee) performed soil borings at this site, The results of those
borings were suhmitted in our "Geotechnical Evaluation Report", d<Jtcd ApnL 22, 2004, (Braun Intc11ec
rroject number A Y -04-3270) to Mr Jolm Mesenbrink with Eagle Creek Development, L L C
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We v,,'ere proviJed with a si\.c gradmg plan prepared by Rehder and Assoc1ates, Ine. titled "Grading-,
Dramage and Prosion Control Plans" dated June 4, 2004, last revised June 24, 2004
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We were provided WIth a plan for the proposed Paws and Pal:; retall huIldll1g prepmed hy .r::lI'lle~ R Hill.
Ine titled "Fmal Paving and Dimensionmg Plan", dated October 18,2004
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Braun Intertec provIded excavation observations and compactIOn tcstmg services during the mass grading
of the Deertield Industrial Park At the time of the site grading, the deSign locatlOn of the: builclmg and
pavements had not been detennined The referenced site grading plans showed an assumed pad fmish
floor elevation of 954 for Block 2, Lot 1.
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Amcon Consh1Jction. .l.I1C, proposes to constmct a retaIl hUllding \Vlth J gross huilding area of' 32S8
~quarc feet (sf) on Block 2, Lot 1 at Dccrfield Industrial P:lrk The project pl<:n proVided hy James R
Il1l1 notes a deSign Finish floor Elevation (fTF) 01953 5
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PrOject ^ V -04-05153-13
November 10,2004
Page 2
Excavation Observations - Block 2, Lot 1
Approximately 4 to 6 feet of topsoil and soft organic clay soils \vere removed Within Block 2, Lot 1 The
soils were excavated in a strip fashion with backhOl;s F onm.:r wetlands were situated along the west
and south Sldes of Block 2, Lot 1
follOWing removnl of the topsoil and soft clays, cxcavation observatlODS were conducted to ~\Id In
evaluating the suitability of lhe soib c:neounlcTcd m the excavation bolloms for engmcered fIll and
bUllding support. The excavatIOn observations were conducted by a senior englneenng aSS1Slant and
conslsted of ohserving the soils in the bottom and sidewalls of the excavations, The approximate densit),
or consistency of the soils encountered wCTe estimated by judging the force required to adv,ll1ce r,mdom,
shallow (about 1 to 3 feet deep) hand auger probes, Soil classI1'icatlOTIS were cklCm11l1ed 111 the fIeld by
examining the hand auger probe cuttmgs III acc0rdance with the American SOCIety [ur Iestmg and
MCltenals (ASTM) procedure:;
Soils encountered in the ex.cavatlOn bottoms typically conSl$ttd of sandy lean clay that wen; Judgcd to be
in a medium to rather stiff conditIOn The excavations extended east Into the adJacent lot, west Into the
proposed future street, south into Adelmflnn Street and to the north property lme The bottom soil
elevations ranged from approximately 943 to 947
Groundwater was observed in the excavations along the west and south sides of the lot at approxImate
c:lcvations of 944 and 945, respectively The water appeared to be perched TIle water observed was
ncgligtblc and engineered fil1 was placed directly following the excavation observation!;
An excavation sketch mdicati.ng approximate ex.cavalion limits and bollom of excavatIon devatlllns WIll
be submitted in a summary report at the conelu.~ion of the Deertield Indu.strial Park slte gradmg
Engineered Fill and Compaction Tests - Block 2, Lot 1
The engineered fill placc:J to c:slablish rough grades for Block 2, Lot 1 typlcally consIsted u[ clayey Sand,
pla(;cJ in about 8 to 12-inch thick loose lltts with dozers, then compacted with a large, self-proptlled,
vibratory sheepsfoot roller
As desigJ,l finish Door clevatlOns were not made available at the time 01 fill placement, we rcc:onU11cnued
that a compadion cnkna of 98 percent of standard Proctor maximum dl'j densiLy be uscd m areas of
propos<.:d building construction
The compactiun tests mel or cxeeeded thc rc(;onm1endcd minimum density requirements of ~8 percent of
standard Proctor maxImum dry denSIty (ASTM D 698)
The compactIon test results and Proctor curves will be submItted In a sununary rerolt at the eonclu~ion
uf thl.: Dl.:erfic\d Industnal Park SIte f,'Tadmg -----;'
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PrOject A V-04-05153-B
Novemher 10, 2004
PJge 3
Conclusions
I3ased on the results of our soil borings and hand auger probes, It is our opmion the soils l;ncountered in the
observed excavation bottoms are sUitable for fill and buildmg support, based on a net allowable bearing
pressure of 3000 poW1ds per square foot (psi)
Based on the constructlOn staking provided by others, 1t 1S our opmion the excavations were adequately
OVl..'1'slzcd
Based on the results of our compactlOn teslm~, it is our opinion the rngineered fill tested is sUltahk for
budding and pavement support
Pavement Recommendations
We undcn;tmd that Block 2, Lot 1 has been graded with engineered fill to approximate elevatIon 9505,
Following removal of the placed topsoil lopping layer, we rCCOl1l11Iend the resulting subgrade he scarified.
moisture conditioned to no more than I percent over optimum and recompacted to a mimTI1um of
100 perccnt of its standard Proc:tor mUImum dry density. Where fill is required, we recommend that It
con:sist of mineral soil The fill should be placed at no more than 1 percent over opLimum moisture and
compacted to at least 100 percent of its standard Proctor dry denSity. For Salls more then 3 [eel below Gnal
grades, 95 percent compaction should be sufficient with a moisture content withm 3 percentag~ points of
optlmurn.
The finish subgrJd(: should be proofrolled with a loaded tandem axle truck to determine If additional
sLlbgrade correctlOn wlll be rcquln;d, Based on the suils placed and tested, we <lnticipate the soils will be
dlrcct1y SUItable for paVCTI1c.11t support following subgrade preparation. However, \ve anticipate limited
areas Will require deeper suhgrade correctIOn, In areas where subgrade correction is deemed necessary,
unsuitable soils should be removed to soils of suitable density or to a maxImum dcpth of 3 fed. The
subf:,'T3de should be brought back to grade with engineered fill con:;i,-;tIng of a debriS free, non-organic
mmcral soll
After the preparation, we antIcipate the subb'Tadc: willlikdy be compacted clayey s<lnd SOIls Laboratory
tests to determme the Hveem R-values of these soIls wciC not included m our scope of services We
assumed a v3lue of 12 for our design
For the above subgrade With some light truck tr<1[fic, we rcconm1end a mmimum of J Inches of
bituminous surface over 10 inches of crushed b'Tavc:1 base fur automobile 3nd ljght tnlck parking area~ dS
addressed in our "Geotechnic<ll EvaluatlOn Report", Braun Intertec proJccl number ^ V -04-03270
Cold Weather Construction
If Site grading and construction 1S ant1clpdlcJ Juring cold weather condItIon:;, We recommend Iha1 guud
winter COl1stmctlOn practIces be ohservcd. No fill should be placed on s6*,-~vhlCh have fr07en 0r Con\,il!l
frozen soil No frOZf..'Tl soils should be used as till All snow and ice should be removed hom cut ;md till
areas prior to additIOnal grading
JAN I 2 2005
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Proj eet A V -04-05153-B
November 10, 2004
Page 4
Concrete placed should be maintained at a temperature in excess of 50 degrees Fahrenhtlt [or a nllmmum of
48 hours following placement. Concrete should not be p1<lced upon frozen solls or soils wnlcn contam
frozen material. Frost should not be pennitted to penetT<1te below footings since such freezing could neave
<:lnd cmck footings and/or the foundation walls.
General Remarks
We cautlOTI any budder who builds on this project to cnrefully evaluate the location oftne proposed building
with respect to the corrected building pad. ^ building situated on a lol that is not loeJted wltrun the
corrected pad location may not bc founded on suitable soils or havc adequate oversizmg [or Iatc..:rJl support
of the fill or foundation loads, If the builder is uncertain as to the location of the corrected pad or If tney are
suspicious a...:; to the SUItability of the fOlmdation soils, it is recommended we be contacted to further <:lSSlst
the builder in locating the building pads and suitable foundation soih.
Services perfonTIc:d by the gcotechmc:al cnf,rinccrs [or tills project have been conducted wilh that level of
care and skill ordmanly cxcrclscd by members of the profcsslOn currently practicmg in this area No
warranty, expressed or Implied, 1S made
Thank you for USIng Braun Intertec for thiS project. rfyou have any questIOns regarding the Information
contained in this report, please call Bob Weber at 952-469-3644 or Greg Bialon at (Sl52) 995-2JSO
Smcerely,
BRAUN INTERTEC CORPORATION
4d/L d-
Robert R. Weber
Senior Engineering Assist<1nt
~~~~
Associate - Senior Engineer
C' Mr. John Mesenbrink; Eagle Creek Development 1. T. C
.Mr Larry Poppler; City of Prior Lake
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JAN I 2 2005
l\1emorandum
OAT E: December 20, 2004
TO: Danette Moore
FROM: Robert 0 HutchIns
RE: Site and building plan reVIew for Paws & Pals buildIng
FollowIng are the results of the Site and buddIng plan review for the Pav"s & Pals
building Our reView was based on the 2003 t.1innesota State BuIldIng Code (MSBC)
which adopted with amendments the 2000 InternatIOnal BuildIng Code (!BC) 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), The numbered requIrements
correspond wIth the 0:ovember 23,2004 Site p13n reVle\v. Comments In lIa/ics have been
added,
Site Comments
I, Locate Post Indicator Va!ve (PIV) a minimum dIstance av,'av the heIght of the
bui ldIng
4. If prOVIded, indlcate means of lawn irngatlOn May use separate service and meterIng
for bIlling purposes Deduct meters not a!!owed
6 Provide monument drawIngs.
The follo\\ Ing are bUIlding plan comments
9. Submit a soils report
13, Submit the Signed Special Structural TestIng and Inspections Schedule. IBC 1704 I,
See enclosed.
14, Sht [2 0 Provide detail of lawn sprInkler servIce stub valve and backflow prevention
detaIls RPZ not a!!Q>ved
17. PrOVIde fire extInguishers mInImum 2A 10BC rated, wIthIn 75 feet travel dIstance of
all areas IFC 906. Provide an additloncz!fire extinguisher by door !90D
Also prmide Avo Signed sets of reVised structural, revised cll,i!, reVised lighting, revised
architectura! p!ans and a Cerllficate oj Surv'ey'
The building plans must be reVIewed by the CIties Developmental ReVIew Committee
(DRC) \\hIch consists of representatives of PlannIng, EngineerIng, Parks, FInance, and
Building Departments The DRC must appro\e the site plans before a bU\I:tP:{0gjie,mllt can
be Issued Code ilems must be addressed before a building permit is ISSll~d'! \ '.
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CITY OF PRIOR LAKE
JAN I 2 2005
CDocuments and Settings Jwedel\Local SetttngslTemporary Internet FilesOLK.A,' Builp~ng DRC
Comments( \ ::,::0,04) DOC ,",
~"'AMCON
Design/Build I Construction Management
General Contracting
Transmittal
To:
Larry Popplar
City of Prior lake
16200 Eagle Creek Avenue S, E.
Prior Lake MN 55372
Date: 2/3/2005
Job No: 763
Re: Paws & Pals
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These items are transmitted:
181 For Your Use D For Approval
D For Review and Comment D Approved
D As Requested D For Bids Due:
D Approved As Not
D Other...
We are sending via:
UPS 1-Day I UPS 2-Day
US Mail Courier
UPS Ground
Copies
2
Number
Dated Description
2/3/05 --I [~evi~~~~ivil Drawings.
.-..,
Remarks:
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Copy to:
Owner
Architect/Engineer
Field Office
Other
1715 Yankee Doodle Road, Suite 200 I Eagan, MN 55121-1616 I Tel: 651.379,9090 I Fax: 651,379,9091
Email: custserv@amconconstruction,com I Website: www.amconconstruction.com
Project Name
Location
o Special Structural Testing and Inspection Program Summary Schedule
?~ cv- p~
~ 12. /-61< L 'H1ei?,
/
Project No.
I'n I AJ /I.J..
Permit No,
(1)
~
Assigned
Firm (6)
.s.J.Ih_ " ,1?e12Ic:J:J.!CL
5/S
~c
Note: This schedule shall be filled out and included in a Special Structural Testing and Inspection Program.
(If not otherwise specified, assumed program will be "Guidelines for Special Inspection & Testing" as contained in the State
Building Code and as modified by the state adopted me.)
* A complete specification-ready program can be downloaded directly by visiting CASE/MN at www.cecm.org*
(1) Permit No. to be provided by the Building Official
(2) Referenced to the specific technical scope section in the program.
(3) Use descriptions per mc Chapter 17, as adopted by Minnesota State Building Code.
(4) Special Inspector - Technical (SIT); Special Inspector - Structural (SIS)
(5) Weekly, monthly, per test/inspection, per floor, etc.
(6) Name of Firm contracted to perform services,
ACKNOWLEDGEMENTS
(Each appropriate representative shall sign below)
Firm: la-Dr; 'De .Jel c'pMe+<fj LL.G
Firm: ~W'^- c....~NLk~ ~ U<-.
:;~(:d:_ C:VJ1"''*-71~_~~ ~
F":~~
Firm: ~ :lij,r;:E,:r~ CD~P"
Date: / - .:29 -05
Date: I- z.1-'~
Date: (7;;'~-
('i; .".
DatecP~ .:,a..,u t:J.::;.
Date: h~ I /~S-
, .
Date: I/$./ /or
I ,
SE
F:
Firm:
Date:
If requested by engineer/architect of record or building official, the individual names of all prospective special inspectors
and the work they intend to observe shall be identified as an attachment.
Legend:
SER = Structural Engineer of Record
SI-S = Special Inspector - Structural
T A = Testing Agency
Accepted for the Building Department By
Date
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3,069,79 379.50 8,172.04
3,073.04 380,00 8,180,79
3,076.29 380,50 8,189.54
,75 3,079,54 381,00 8,198,29
I 42.75 3,082,79 381,50 8,207,04
4,747,75 3,086,04 382,00 8,215,79
4,752.75 3,089.29 382.50 8,224,54
4,757.75 3,092,54 383,00 8,233.29
4,762.75 3,095.79 383,50 8,242.04
4,767,75 3,099,04 384.00 8,250.79
.00 4,772,75 3,102.29 384,50 8,259,54
0,00 4,777,75 3,105,54 385,00 8,268,29
,000,00 4,782.75 3,108,79 385,50 8,277.04
72,000,00 4,787,75 3,112,04 386,00 8,285,79
773,000,00 4,792,75 3,115,29 386,50 8,294,54
774,000,00 4,797,75 3,118.54 387,00 8,303.29
775,000,00 4,802,75 3,121,79 387,50 8,312.04
776,000,00 4,807,75 3,125,04 388.00 8,320,79
777,000,00 4,812.75 3,128.29 388.50 8,329,54
778,000,00 4,817.75 3,131.54 389,00 8,338.29
779,000.00 4,822.75 3,134,79 389,50 8,347.04
780,000.00 4,827,75 3,138,04 390,00 8,355.79
781,000,00 4,832,75 3,141.29 390,50 8,364.54
782,000,00 4,837,75 3,144.54 391,00 8,373.29
783,000.00 4,842,75 3,147.79 391,50 8,382.04
784,000,00 4,847,75 3,151,04 392.00 8,390,79
785,000,00 4,852.75 3,154.29 392,50 8,399,54
786,000.00 4,857,75 3,157,54 393,00 8,408.29
787,000.00 4,862,75 3,160.79 393,50 8,417,04
788,000.00 4,867.75 3,164,04 394,00 8,425,79
789000.00 4,872.75 3,167.29 394,50 8,434,54 (~
lv 790,000.00 4,877.75 3,170,54 395,00 8,443,29 I
, 791,000.00 4,882,75 3.173,79 395,50 8,452.04 ,
792,000,00 4,887,75 3,177,04 396,00 8,460.79
793,000.00 4,892.75 3,180.29 396,50 8,469,54
794,000.00 4,897,75 3,183,54 397,00 8,478.29
795,000.00 4,902.75 3,186,79 397.50 8,487.04
796,000.00 4,907.75 3,190.04 398,00 8,495.79
797,000,00 4,912,75 3,193,29 398,50 8,504,54
798,000,00 4,917.75 3,196,54 399,00 8,513.29
799,000,00 4,922,75 3,199.79 399,50 8,522,04
800,000,00 4,927,75 3,203.04 400,00 8,530.79
801,000,00 4,932,75 3,206.29 400,50 8,539,54
802,000.00 4,937,75 3,209.54 401,00 8,548.29
803,000,00 4,942.75 3,212,79 401,50 8,557,04
804,000,00 4,947,75 3,216,04 402,00 8,565.79
805,000,00 4,952,75 3,219.29 402.50 8,574.54
806,000,00 4,957.75 3,222.54 403.00 8,583,29
807,000,00 4,962,75 3,225.79 403,50 8,592.04
808,000.00 4,967.75 3,229,04 404.00 8,600.79
809,000,00 4,972,75 3,232,29 404,50 8,609,54
810,000.00 4,977,75 3,235.54 405,00 8,618,29
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVENUE S.E.
PRIOR LAKE, MN 55372
SPECIAL STRUCTURAL TESTING AND INSPECTION SCHEDULE
Proj ect
Name
Location
SPECIAL STRUCTURAL TESTING AND INSPECTION
Specification Description Type ofInspector (3) Report Frequency Assigned
Section Article Firm (4)
Notes: This schedule to be filled out and included in the project specification. Information unavailable at
that time, to be filled out when applying for a building permit.
(1) Use descriptions per UBC Section 1701, as adopted by Minnesota State Building Code,
(2) Special Inspector - Technical, Special Inspector - Strucural.
(3) Firm contracted to perform services,
ACKNOWLEDGMENTS
Each appropriate representative shall sign below:
Owner: Firm: Date:
Contractor: Firm: Date:
Architect: Firm: Date:
SE~ ~rm: D~:
SI-S: Firm: Date:
T A: Firm: Date:
SI-T: Firm: Date:
T A: Firm: Date:
SI- T: Firm: Date:
F: Firm: Date:
F: Firm: Date:
*The individual names of all prospective special inspectors and the work they intend to observe
shall be identified. (Use reverse side of form if necessary,)
Legend: SER = Structural Engineer of Record
SI- T = Special Inspector - Technical
SI-S = Special Inspector - Structural
T A = Testing Agency
F = Fabricator
Accepted for the Building Department by
Date
2
. ~ ,"_,~".,__: .," ... ,-'-,,,.; '.' ~.. ..... ,-...',,~ ,.. _ ,,' ., A_">
CITY OF PRIOR LAKE
BUILDING INSPECTION DEPARTMENT
COMMERCIAL & MULTI-UNIT FIRE PLAN REVIEW CHECKLIST
VA"",> ~ '""PA '-5
Project Name:
Job Address:
f\ L> \..E MA ~~
. Provide access roadway for fire apparatus in accordance with Section 902 of the Uniform
Fire Code (UFC). This includes the following:
() All-weather driving surface.
() 20 feet of unobstructed width,
() 13 feet 6 inches of vertical clearance.
() Adequate turning radius capable of supporting fire apparatus.
The radius is:
~eet for a sprinklered building.
60 feet for a non-sprinklered building,
() Dead end access in excess of 150 feet long shall be provided with a
rI ,.0. IG-R- / turnaround. ?__
vo~v~ L-c?r oJ ~Tf2-L~S
~ 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 Building: Fire hydrants are required per UFC Section 903. All portions of
the exterior of any non-sprinklered building must be within 150 feet of an approved fire
hydrant.
/
. Sprinklered Building: Buildings with a sprinkler system requir~e hydrant within 150
feet of the fire department connection and a hydrant(s) within 300 feet of all portions of the
-
exterior. The fire department connection shall be located on the front of the building, The
~~~st be located a minimum of the height ofthe building away.
"
FIREPLAN
.,:-.,""_,"""..';"'~_'~';'''':'''~'''''':'''-'"'''~i';'~~~'''~~~''''';~~''';'~-'~~~~.t.........~_:J.~..._.;.....-.........'\-1<oi<"'-""--'.-'-
. All 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
along side for the connection.
~~ Provide fire lanes for fire apparatus response. Signage should read: "No Parking Fire Lane
------ r by order of the Fire Department." Location and number to be determined.
6? Provide numbers of addresses in such a way to be plainly visible from the street or road
fronting the property per UFC Section 901. Numbers shall contrast with their background.
{. Townhouse projects must have directional signs designating the numbering sequence of units
(- for each individual roadway.
($/ 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.
~Fire extinguishers are required for this project per UFC Section 1002. Extinguishers are
required to be a minimum 2AlOBC 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.
(~ 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 alarm systems.
() Cooking appliance and vent extinguishing systems,
() Fire pumps.
() Other extinguishing systems,
. Fire alarm plans must be submitted by State licensed electrician or low voltage contractor,
"
FIREPLAN
~ . . -,
,....."...........:..,. --.._..<....,'..,....-~...:. ,.,,'- ." .,,-,~~- ,.....~..;:.- ~...~..-
. 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 of 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, spray 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
. Protection systems installed that are not required are subject to approval by the Fire
Department and must meet code requirements.
. Submit 8-112 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 of assembly, UFC Article 25.
() Cellulose nitrate storage in excess of 25 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, spray 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.
C) 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.
C) 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.
..
FIREPLAN
CITY OF PRIOR LAKE
BUILDING INSPECTION DEP ARTMENT
COMMERCIAL & MULTI-UNIT PLAN REVIEW CHECKLIST
Project Name:-!"::)A...... :; A,..tO WA~ s
p.. \) c=,-,-Y'\. ~ ST.
Job Address:
I. CLASSIFICATION OF BUILDING:
A. Use of Building
1. Occupancy Group (Table 5-1) 13>
2. Occupancy Separations (Table 5-B) -
B. Type of Construction (Table 5-A) 1t:-B
C. Location of Property ~E"'\5 ~\
Front Rear L. Side R. Side
D. Floor Area
1. Actual e'Z. S8
2. Allowable (Table 5-C) z. ~ 000
3. Area Increase
a)
Open Area (505)
9>", ~
Sprinkler (501)1>
b)
~
<0 "\ 000
c) Multi-Story (506)
4. Mixed Occupancy Calculation =
E. Height and Number of Stories
1.
Actual: Stories
I
Height l t.:
2.
Allowable (Table 5-D): Stories
.4
-
Height 6!:J
3. Allowable Increase +-
Permit Number
Envelope Compliance Certificate Checked By/Date
Minnesota Commercial Code
COMcheck-EZ Software Version 2.4 Release 2c
Data filename: J:\design\04065 Paws & Pals-Prior Lake\Construction Documents\energy Paws,cck
Section 1: Project Information
Project Name:
Designer/Contractor:
Document Author:
Paws and Pals
Amcon Construction Co.
Nancy Wolf
Section 2: General Information
Building Location (for weather data):
Climate Zone:
Heating Degree Days (base 65 degrees F):
Cooling Degree Days (base 65 degrees F):
Scott, Minnesota
15
8499
695
Whole Building Type(s)
Offices 2,001-10,000 ft2
Floor Area
8288
Project Description (check one):
New Construction Addition _ Alteration _ Unconditioned Shell (File Affidavit)
Section 3: Requirements Checklist
Bldg. I
Dept. I
Use I
I Air Leakage, Component Certification, and Vapor Retarder Requirements
] I 1, All joints and penetrations are caulked, gasketed, weather-stripped, or otherwise sealed,
] I 2. Windows, doors, and skylights certified as meeting leakage requirements.
] I 3, Component R-values & U-factors labeled as certified,
] I 4, Vapor retarder installed,
Climate-Specific Requirements
Component NamelDescription
Roof I: Non- Wood Joist/Rafter/Truss
Exterior Wall 1 : CMU >8" with Integral Insulation
Furring: None
Window 1:
Metal Frame with Thermal Break, Double Pane with Low-E
Clear, SHGC 0.38
Door 1: Glass, Clear, SHGC 0.38
Door 2: Solid
Floor 1: Unheated Slab-On-Grade, Vertical 4 [t.
Gross Cavity Cont. Proposed Budget
Area R-Value R-Value U-Factor V-Factor
8288 0,0 25,0 0,039 0.045
5952 12,8 0.061 0,068
300 0.480 0,520
42 0,038 0.520
126 0,200 0,113
8288 10.0
Envelope PASSES: Design 19% better than code
(a) Budget V-factors are used for software baseline calculations ONLY, and are not code requirements.
Section 4: Compliance Statement
The proposed envelope design represented in this document is consistent with the building plans, specifications and
other calculations submitted with this permit application, The proposed envelope system has been designed to meet
the Minnesota Commercial Code requirements in COMcheck-EZ Version 2.4 Release 2c and to comply with the
mandatory requirements in the Requirements Checklist.
Signature
Date
Principal Envelope Designer-Name
Permit Number
Envelope Compliance Certificate Checked By/Date
Minnesota Commercial Code
COMcheck-EZ Software Version 2.4 Release 2c
Data filename: J:\design\04065 Paws & Pals-Prior Lake\Construction Documents\energy Paws,cck
Section 1: Project Information
Project Name:
Designer/Contractor:
Document Author:
Paws and Pals
Amcon Construction Co,
Nancy Wolf
Section 2: General Information
Building Location (for weather data):
Climate Zone:
Heating Degree Days (base 65 degrees F):
Cooling Degree Days (base 65 degrees F):
Scott, Minnesota
15
8499
695
Whole Building Type(s)
Offices 2,001-10,000 ft2
Floor Area
8288
Project Description ( check one):
New Construction Addition _ Alteration _ Unconditioned Shell (File Affidavit)
Section 3: Requirements Checklist
Bldg.
Dept.
Use
Air Leakage, Component Certification, and Vapor Retarder Requirements
1, All joints and penetrations are caulked, gasketed, weather-stripped, or otherwise sealed.
2, Windows, doors, and skylights certified as meeting leakage requirements,
3, Component R-values & U-factors labeled as certified,
4, Vapor retarder installed,
Climate-Specific Requirements
Component Name/Description
Roof I: Non- Wood Joist/Rafter/Truss
Exterior Wall 1 : CMU >8" with Integral Insulation
Furring: None
Window 1:
Metal Frame with Thermal Break, Double Pane with Low-E
Clear, SHGC 0,38
Door 1: Glass, Clear, SHGC 0.38
Door 2: Solid
Floor 1: Unheated Slab-On-Grade, Vertical 4 ft.
Gross Cavity Cont. Proposed Budget
Area R-Value R-Value U-Factor U,Factor
8288 0.0 25,0 0,039 0,045
5952 12,8 0.061 0,068
300 0.480 0,520
42 0,038 0,520
126 0,200 0,113
8288 10,0
Envelope PASSES: Design 19% better than code
(a) Budget U-factors are used for software baseline calculations ONL Y, and are not code requirements,
Section 4: Compliance Statement
The proposed envelope design represented in this document is consistent with the building plans, specifications and
other calculations submitted with this permit application, The proposed envelope system has been designed to meet
the Minnesota Commercial Code requirements in COMcheck-EZVersion 2.4 Release 2c and to comply with the
mandatory requirements in the Requirements Checklist.
Signature
Date
Principal Envelope Designer-Name
CITY OF PRIOR LAKE
ORC PROJECT REVIEW CHECKLIST
PROJECT NAME: PAWS AND PALS SITE PLAN REVIEW
An application for site plan approval for a pet boarding and
care facility located in the Deerfield Industrial Park, and zoned
C-4,
APPLICANT: Amcon Construction
CONTACT PERSON: Jeremy Wedel
651-379-9026
SITE INFORMATION
LEGAL DESCRIPTION: Lot 1, Block 2, Deerfield Industrial Park 2na Addition
(PID NOT AVAILABLE YET)
LOCATION: This property is located on the south side of County Rd, 21,
and west of Revere Way,
EXISTING ZONING: C-4 (General Business)
COMPREHENSIVE PLAN : C-CC
PROJECT REQUEST: Review site plan,
DISTRIBUTE TO: D APPLICATION FOR:
. Frank Boyles . Bud Osmundson Administrative Land Division
. Jane Kansier . Steve Albrecht Comprehensive Plan Amend.
. Ralph Teschner . Larry Pop pier Conditional Use Permit
. Chris Esser . Fire Chief Home Occupation
. Bob Hutchins . Bill O'Rourke Rezoning
. John Sullivan . Site Plan
Preliminary Plat
PUD
DNR - Pat Lynch . Minnegasco Final Plat
Countv Hwv, Dept. Watershed Dist. Variance
MNDOT . Telephone Co. Vacation
(Inteqra)
SMDC . Electric Co,
(MVEC)
Met. Council . Mediacom Cable
Date Received 10/29/04 Date Distributed 11/1/04 Date Due 11/8/04
Complete Application Date Distributed to 11/1/04 DRC Meeting 8/4104
Date DRC
Publication Date NA Tentative PC Date NA Tentative CC NA
Date
60 Day Review Date 1/20105 Review Extension NA
1:\04 files\04 site plan\new horizon child\referral.doc
Page 1
I have reviewed the attached proposed request (PAWS AND PALS SITE PLAN) or the
following:
Water City Code Gradinq
Sewer Storm Water Siqns
Zoninq Flood Plain County Road Access
Parks Natural Features Leqal Issues
Assessment Electric Roads/Access
Policy
Septic System Gas Buildinq Code
Erosion Control Other
Recommendation:
Approval
Denial
Conditional Approval
Comments:
Signed:
Date:
Please return any comments by Thursday. November 8. 2004, to
Danette Moore, Planning Coordinator
City of Prior Lake
16200 Eagle Creek Avenue SE
Prior Lake, MN 55372
Phone: (952) 447-9813
Fax: (952) 447-4245
e-mail: dmoore@cityofpriorlake.com
1:\04 files\04 site plan\new horizon child\referral.doc
Page 2
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NOV-15-2004 11:02
AMCON CONSTRUCTION
P,02
A.AMCON
DESIGN/BUILD I CONSTRUCTION MANAGEMENT I GENERAL CONTR.ACTING
November 15, 2004
Danette Moore
16200 Eagle Creek Ave, S,E.
Prior Lake, MN 55372
Subject: Paws and Pals Building Set Back,
Dear Danette,
I wanted to respond right away to the November 4, 2004 letter from the Development Review
Committee (DRC) in regards to the Paws and Pals Site Plan, The formal review letter is
drastically different from the September 2, 2004 preliminary review letter. The building set back
requirements for the project seem to me to have changed due to Industrial Blvd going in and do
not allow enough room for the building to fit on the proposed site.
In the cities preliminary review of the site plan. the city noted that the "proposed street" would
need to be constructed at the developer's expense, prior to the approval of the second access to
the site. The city also noted that if the street will be constructed at a latter date, the second
access point "listed as future" should be removed from the plan. During our meeting, Amcon was
under the impression that we were to develop the site as if that road may never go in. My
architect took this information and changed the building setback from 50 feet to 30 feet on that
side of the building to accommodate the necessary required parking stalls for this project.
In the formal review letter now, Amcon has now been instructed to remove the entrance off
Adelman Street and provide access to industrial lane. Industrial lane did not even exist in our
preliminary review meeting of the site plan and now poses several difficulties with the site, With
Industrial Lane going in, the project would now be faced with another 50' setback. making it
impossible to even place a building on such an odd piece of property, This setback will not work
with the proposed building and we would like to discuss a variance for the setback,
Thousands of dollars in engineering fees have spent laying out this site with the assumption that
that Indu$triallane was not going in. I would like to set up a meeting to review the site and to
discuss the different option available for this project with you and your staff at your earliest
convenience,
Sincerely, ,
(7.:onI/4ny, LLC
~~el
Project Manager
1715 Yankee Doodle Road, Suite 200 I Eagan, Minnesota 55121-1616 I Tel: 651.379,9090 I Fax; 651.379,9091
Email; custserv(ci-amconconstruction,com I Website: www.amconconstruction.com
TOTAL P.02
Contractor's Material and Test Certificate for
A. ro ure on orms to 'PA 1 -I 94
Upon completion of work, inspection and tests shall be made by the
contractor's representative and wilnessed by an owner's representative, All
defects shall be corrected and system left in service before contractor's
penonnel finally leave the job. A certificate shall be filled out and signed
by both representatives. Copies shall be prepared for approving aulhori-
ties, owners and contractor. It is understood the owner's representative's
signature in no way prejudices any claim against contractor for faully
material, poor workmanship, or failure 10 comply with approving authority's
requirements or local ordinances, All "No" answers shall be explained in
the Comments portion of this fonn.
Property Name: Paws & Pals
Property Address: 5821 Industrial Blvd. Date:
B. Pllns Prior Lake, MN
I. Accepted by Approving Authorities (Names):
2. Address:
3. Installation conforms to accepted plans
4. Equipment used is approved
C. Instructions .
I. Has person in charge oC fire equipment been
instructed as to location oC control valves and
care and maintenance of this new equipment Gl Yes 0 No
2. Have copies of the following been len on the premises:
a. System components instructions al Yes 0 No
b. Care and maintenance instructions (3 Yes 0 No
c. NFPA 25 IJJ. Yes 0 No
D. Location of system - Supplies building:
E. S rinklers
Make Model Year Made
Central TY-FR
C -8
tit Yes 0 No
llll Yes 0 No
2005
2005
F. Pipe and Fillings
I. Type of Pipe: Allied XL & Dyna-Flow
2. Type of Fittings: Ma 1 iable
G. Alarm Valve or Flow Indicator
T Make Model Max, Time to 0
tte VSR s~G
H. Dry-Pipe Valve
1. Make and Model:
2. Serial Number:
I. Quick Opening Device (Q.O.D.)
I. Make and Model:
2. Serial Number:
J. Dry-Pipe System Operating Test Without Q.O.D.
I. Time to trip through test connection.:
2. Water pressure psi. Air pressure pSI.
3. Trip point air pressure psi.
4. Time water reached test outlet.:
5. Alarm operated properly 0 Yes 0 No
K. Dry-Pipe System Operating Test With Q.O.D.
1. Time to trip through test connection.:
2. Water pressure psi. Air pressure pSI.
3. Trip point air pressure psi.
4. Time water reached test outlet.:
5. Alarm operated properly 0 Yes 0 No
L. Deluge and Pr,.ction Valves
J. Make and, Model:
'" ^___.!___ r'\ n__u__.~_ n ~I__._!_
r., t lu..J__ul:_
Aboveground Piping
N. Test Description
Hydro,tatic: JlydroSlatil: tests shall be made at not less than 200 psi (l3.t
bars) for Iwo hours or 50 psi (3.4 bars) above stalie pressure in excess of
150 psi (10,2 bars) for two hours, Differential dry-pipe valve clappers shaJ
be left open during test to prevent damage. All aboveground piping leakage
shall be slopped.
Pncumatie: ESlablish 40 psi (2.7 bars) air pressure and measure drop,
which shall nol exceed 1.5 psi (0.1 bars) in 24 hrs. Test pressure .tanks at
Ilomlal WOller level and air pressure and measure air pressure drop, which
sl\;\1I not exceed 1,5 psi (0.1 bars) in 24 hrs,
O. Tests
I. All piping hydrostatically tested at 200 psi for L hours
2, Dry piping pneumatically tested 0 Yes 13 No
3. Equipment operates properly I&l Yes 0 No
4. Do you certify as the sprinkler contractor that
additives and corrosive chemicals, sodium
silicate or derivatives of sodium silicate, brine.
or other corrosive chemicals were not used Cor
testing systems or stopping leaks? fa Yes 0 No
5. Drain Test:
a. Static pressure reading of gage located near
water supply connection }f'{) psi,
b, Residual pre~~with valve in test connection
open wide '7 psi,
6. Underground mains and lead in connections to
risers flushed before connection made to sprinkler
piping and verified by copy of form No. 13-U 0 Yes 0 No
7. Flushed by installer oC underground piping G!I Yes 0 No
ll, Ifpowder driven fasteners are used in concrete,
has representative sample testing been
satisCactorily completed? 0 Yes 0 No
P. mank Testing Gas~y
I. Number used: V
2. Locations:
3. Number removed:
Q. Welded Piping - If welded piping was used in the system,
\:Olllplete the following:
I, Do you certi fy as the sprinkler I:onlral:lor that
welding procedures comply with the require-
ments of at least A WS DI0.9. Level AR-3 ~ Yes 0 No
2. Do you certify that the welding was performed
by welders qualified in compliance with the re-
quirements of at least AWS DIO.9. Level AR.31&l Yes 0 No
3, Do you certify that welding was carried out in
compliance with a documented quality control
procedure to insure that all discs are retrieved,
openings in the pipe are smooth. slag and other
welding residue are removed, and the internal
diameters of piping are not penetrated m Yes 0 No
R. Cutouts (Disks)
Do you certify that you have a control feature to
ensure that all cutouts (disks) are retrieved? 13 Yes 0 No
S. Hydraulic Data Nameplate Provided GJ Yes 0 No
T. Date left in service (with all control valves open):
U. Signatures
I. Name of sprinkler contractor:Sentry Fire Protection
2. Tests witnessed by: .~ L _
For pr y owner (*ned):~( ~
Title: ui. D e:
For sprinkler con ractor (Signed):
Title: