HomeMy WebLinkAboutBuilding Permit 97-0153
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct, I also certify that I am the owner or authorized agent for
the abov entioned prope that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
b . .. ~ _ ;.." <lb. "'"~. Fb ""iJ:t~.""~""- ~. "'.~ """ ""'-'" -'" to -4 M9'r'"
Signa -"= f License No, ~ Date
FOR ADMINISTRATIVE USE
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1, DATE
41'301Ql-
DIRECTI
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS
[)-3
LOT
ADDITION
4, OWNER (Name) (Address) br:LOU/~, I::lA:
(...frt6 ~tt'1V\f1'AJ,alDrn 38cV PAfU~Bwb, q'l'?>-3BQ')-
5, ARCHITECT (Name) (Address) (Tel. No,)
W(;~ HI 0 Lbo ~/ ~r- $r. Pf\->'L f1IJjoJ Z,:z.2. - 3- ~ I
6, BUILDER (Name) (Address) $5- (Tel. No,)
LJ~J+&7~{1~ BzooJ.-bfMlbll'J\lEBwo. ~LM.l1'1. M~ eR1-~
7, TYPE OF WORK Fireplace Cl Septic Cl Deck Cl Re,rooling Cl Porch Cl
New construction)( Alterations t;J Addition Cl Finish Attic Cl Re'siding Cl Finish Basement Cl
ChlmneyCl Mise, 61 euJOl..\C zt- ~UlLOI ~J-ttl..l.-- 'PeJUYl11
8, PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10, CULVERT SIZE
Sq. Ft. Width Depth Yes No
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
USE OF B;{ILDING
~ ('I"OM'~'
-,
tJ.eu..l ~..
1. "'11.1.1,,",
2, Pink City
3. Yellow Applicant
Permit No. BP q 7. i 5..:?
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO, OF STORIES
ON
13, TYPE OF CONSTRUCTION
i P E:tII:' - t-J
14, FLOOR AREA APPORTIONMENT USE
,'1PE B DCLuPhK
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
I loo (X)()
17. COMPLETION DATE
cx:...T'. I "-=t 9 9 =r
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS Cl
PLANS & SPE~ETS
SURVEY Cl COPIES
PLOT PLAN Cl
City:
Amount Brought Forward ,.,............... $
Park Support Fee .SSQXS':':.,.,.,.. $
SAC j5.Q,.,X5::..,.,...,.........,.,.. $
~,;~ :~:
-
Collector Street Fee ............,.,.,...... $
Sewer Tap ,.,.........,.............,..,.,.,. $
License Check Fee ,..1'.....,.,..........,. $
Pressure Reducer ~.,(.,.,.,.........,..... $~ J 4r, 0 D
Meter Hom ,.,.Z"f,.,...,.,.,.,.,........,.,. $
Water Meter .,.,.........,..,...,.,...,...,., $
I'Z..ed> )(.S-
Sewer & Water Connection Fee ,...,....., $
Water Tower Fee ')~. X,~,.......,. $
, I
WeteMaP .,.1~.,. "u" $
8uilder's Deposit ,.,.,..........~.....,.. $
Other ..l~:~~.<<-:~a.lt.:': $ tl3S',dD
Total Due ....,...,.,.,...,......,.,.,.. $ J~ 7/JJ., '] J
'7/paid ~~1 Receipt No, .3/ <J C5 /
TYPE OF CONSTRUCTION: I I 1\1 IV V
Occupancy Group A& E F HIM R S U
Division 1 2 3 4
""" F~ :.................................. .~ ,i,"-l );f- 'J f fj ~
Plan Checking Fee ,.......,...,.........,., $ M; ~ .-!iJ!-. I T;g ~ 0
State Surcharge .........,.....,.....,.....,. $ b, 0 ~: f) ~ ~ ~ ,0
Penalty ......,.....,.....,...,.......,....,... $
Septic System ,..............,.,............. $
Other ..,...,.............,.....,............,. $
Th
By
uilding Permit When Approved,
Date G-")""2 -'l;
-, Cl '-;0,1,
"'-. /
Issued
24 hour notice for all inspections 447,4230
97./53
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~ITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3, Yellow
File
Qty
Applicant
Inc.
PPNo, pL tJ7' 103
Phone: (612) 331-3060
MN 55413-2617
, ~(1~< ),V
vJ~
Applicant:
Address:
Signature:
Legal Description: Lot
Site Address: Park Nicollet 16705 Franklin Trail SE
Building Permit # 91' r-S3 PID # (~.-s' io~' nLfo. .0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS ~ 1 ()1 s- dO
~ Bloc~Ak Sub-
Th. C.nl., of Ih. Like Country
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher 1 Water Heater
2 Floor Drain 1 Water Softner
6 Lavatory (bathroom sink) Stand Pipe (washing machine)
2 Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall 1 Backflow Assembly (RPZ, Double Check, PVB)
35 Sinks Backflow Assembly Test
Bar Sink 1 Lawn Sprinkler
6 Water Closet (toilet) 1 Other Electric Water Cooler
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39,50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
61,000.00
$99,50
$39.50
$ 610.~
$
$
$ .50
GRAND TOTAL
$ 610.60
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
a/nor 0<. RECEIPT NO. DATE
ATIEST
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
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White - Building
Canary - Engineering
Pink - Planning
The Cen.er of Ihe Lake Counlry
BUILDING PE6MIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( I ) e.}>.{LJ' ClfV! <.!Y Ii (.1-\ ""1 ((}Vf'
..t-fJ 'J/ 017
1 i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ti ,. --.,
I'll l ,~L..L.(\.--,_ I r"" 'L
/ ~ {() 5
Accepted
v/
Accepted With Corrections
\~' ,
Denied
/) ~ ., - . "-
Reviewed By: r U{. ~
Comments:
(!) a-PPUYlXd- a.Lr.il1~ Jo fotJ..,wM.j .~ ..
~ &0; p~ IifdL 'tl0/':;drd S/ro/q1-"
. "
~ ~ p~ dahd ,,~~~w/qJ I'
" U ~ r'!tvr.. dP..b.-cI '( . 5.a-iYfcn"
Date: .....l::) / :;J.-af q 7-
I
~ ~"6~~'
"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
or~::o~l::~~ionS;~ofb~a'i~k Jt17-o;30 +Or Of~ ~~
PLAN REVIEW COMMENTS FOR THE PARK NICOLLET CLINIC
1, Separate permits for HVAC, plumbing, sewer and water hookup, and fire
suppression required,
2, Plenum rated cable required in return air systems,
3, Handicap access required throughout.
4. Foam plastic insulation shall be protected per USC,
5, It is the responsibility of the contractor to arrange for inspections, Give address and
permit number,
6. Fire Department lock box required,
7, All structural framing members on the lower roof of the area separation wall shall be
protected to one hour fire protection,
8, All wood backers, etc, shall be fire treated,
16200 Eagle Creek Ave, S,E" Prior Lake, Minnesota 55372-1714 / Ph, (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
"
..
White - Building
Canary - Engineering
Pink - Planning
Th. C.nler of Ih. lIk. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(J ) t!Js1L.... (.Jm S ~ v J\ M CdV'f'
A/301'11
I ,
, \
"
.....,~ ~
\. '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~ -;05 r;a.~J~ Tr~L
CO t'\.d ;+1 () V\. c;, /
AC"'epted With CerrB8~F1E:
~, ( ~ Ix I.6v.J )
Accepted
Denied
Date: &:!) / (3/ q 7
I I
be tp~/4Jd
IAJf'~~0 :5~ ~-f-CJ1~
(j) ~ ~','.'QA AJvJ c~
::r~:!~;, ~rA A~ ~ ~
, ' ~ Ja~s5'
- , , I
L<5~ >>-~ t
(jJ ~wc: --\- Co P'-1, ~I; "7co -It C0. 1;;1<'1+
(for- -to w()(L ~ t;:-~feAL'V\.
iUJ lAJ .
Reviewed By: 5(~ ~cy~
, o{ rD S
Comments: @ lJo IJ--h I ;+1 es '" La f\
"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 ot.. other
ordinances of the jurisdiction shall not be valid." '.
White - Building
Canary - Engineering
Pink - Planning
The ,enter of the Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(J)-eJ~ UmsiYv.-cJ\ M Cvp.
'1/30/ q7
I I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L '-; c ti I () ~ T'--f
~ ().) rO/V.jGY....A..-.~ r aA ___
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
MEMORANDUM
FROM:
RE:
August 6, 1998
Jay Scherer, Building Inspector
Bob Hutchins, Building Official
Jenni Tovar, Planner ~~
Certificate of Occupancy issuance Park Nicollet Clinic
DATE:
TO:
Based on yesterday's inspection, the following issues need to be
submitted/addressed prior to Planning Department approval/sign off:
. Dead trees must be replaced. This includes two dead maple trees
located in parking lot islands.
. Weeds growing in areas that were seeded must be removed.
Specifically, there are weeds over 12 inches in height located around
entrance sign along Franklin Trail.
C :\J EN N I\CERTOCC\P NICOLET. DOC
Site Address:
Facility Name:?~ NI\c.~ Qj~
Project Contact:
(Name, AddresS/Phone)
The architect of record must complete the Commercial Plan Review worksheet and related
attachments in their entirety, Provide specification number and/or plan -detail number or other
information requested, Explain responses and provide calculations as requested and/or
applicable, Complete and accurate information will expedite the plan review process, Building
code section or ordinance numbers are given to direct you to the relevant code sections.
I hereby certify that this Prior Lake Plan Review was completed by me or under my direct
supervision. and that I am a duly registered architect under the laws of the State of Minnesota.
Signed:
Reg. No.:
Date:
Attachments
CONTENTS
A
B
C
D
E
F
G
H
I
Commercial Plan Review for Code Compliance
Commercial Building Permit Requirements
Total Allowable Floor Area Calculations
Total Occupant Load Calculations
Plumbing Fixtures Required
Snow Load Compliance Calculations
Identification of Applicable Bidding Alternates
Subcontractor List
Construction Fee Calculation Worksheet
PLANREV,DOC
1
ATTACHMENT A
CITY OF PRIOR LAKE
COMMERCIAL PLAN REVIEW FOR CODE COMPLIANCE
INFORMATION REQUESTED
Date
Project Name
General Contractor
Address
Phone
Owner
Address
Phone
UBe 904,2.1 Are fire sprinklers installed?
UBe 904,5,2 Are standpipes provided?
UBe 301 Occupancy Group(s)
UBe 601.1 Type of eon~truction
Setbacks of building to property lines
Total square feet of building
UBe 506 UBe Table No, 5-B, Height of
building and number of stories
UBe 506 UBe Table No, 5-B, Allowable
height and number of stories
UBe Table 3-B Ratings and location of
occupancy separations
UBe 504,6 Rating and location of area
\
separation walls
UBe 504.6.1 Are occupancy and/or area
separation walls identified and d~tailed on
architectural drawings?
UBe 701,2 Will special inspectors be
employed for any of the following: If so
attach name, address, phone number and
qualifications of any required inspectors,
Concrete
Bolts installed in concrete
Ductile moment resis'ti~ concrete of fra"\e
\ '
Reinforcing steel and prestres~ing steel
Welding.
High strength bolting
Structural masonry
PLANREV.OOC
PROVIDE SPECIFICATION SELECTION NUMBER
ANDIOR PLAN DETAIL NUMBER IN RESPONSE TO THE
INFORMATION REQUESTED
Front
Rear
or
Side
JL.N
W f 0'----- <L<:r_____
Side
IS (I~
I
Heights '2 '-t I
Stories
Rating
N Pr Reference
~~
~< -y; ~
rz...-:. \X.~eference
Rating
Yes _ NoL Reference
TI ttJ 'I!z. lW:u- '~..r
...-r."\ 'S \N- (l....J...:.",
~ ' j
Yes~NO~
Yes No
Yes No
Yes No
Yes L No-.--
Yes..:::5- No
Yes No
2
-'
X--
Reinforced gypsum concrete
Insulating concrete fill
Spray applied fireproofing
Piling, drilled piers and caisons
Shotcrete
Special grading, excavating and filling
other (specify)
Elevator Code. Has the elevator equipment
room been provided with a two-hour fire
resistiive enclosure?
Elevator Code Appendix Chapter 30, Are
sprinklers installed in the elevator machine
room?
Elevator Code is an electrical shunt device
installed?
NEC 230-72(c) Does each occupant in a
multi-occupancy building have access to
main service from a common area?
NEC 300-22(c) (amended) 'is
communication wiring in plenum areas of
B-2 occupancies installed in conduit?
SMC 1345.1659, NEC 300-22(c) Is the ,void
above suspended ceiling being used as a
return air plenum? If so, explain protection
of plumbing and electrical wiring,
"-
SPC 4715,1210 Is a janitor's service sink
accessible to each leased area?
SPC 4715,1210 Does the service sink have
at least a 1 - 1/2" drain?
SPC 4715,1210 Are drinking fountains
accessible to each leased area?
State Statute 326,03 Have the architectural
drawings been stamped and signed by a
Minnesota registered architect?
State Statute 326.03, Have the structural
drawings been stamped and signed by a
Minnesota registered engineer?
State Statute 326,03 Have the mechanical
drawings been stamped and signed by a
Minnesota registered mechanical engineer?
PLANREV,OOC
Yes No
Yes No
Yes_Noi
Yes_NoL
Yes No ~
Yes No y
Yes No
Yes_NoL
N~
Yes _ No t1tr
Yes
No ~ ~ Reference
Yes
No t\\A
Yes
No
~~
7
Yes _ No _ Reference jlDt::Q.
Yes
No
Yes No
Yes~No_
YeS~NO_
Yes-LNo_
Yes No
t\)()~
~~..J:;t~'
3
USC 502.2 Are structural members
supporting occupancy separations protected
by equal fire resistive constru9tion?
USC 807.1,2 Do walls within water closet
compartments and around urinals have a
smooth non-absorbent surface at least 4
feet high? (Paint is not acceptable in these
areas)
USC 1006,14 Is roof access provided?
USC Table 5-A Are exterior openings
protected?
USC 712 Is usable space under the first
story (basement) protected on the side of
usable space as required for one hour fire
resistive construction? '
USC-711.1 Is every opening into a shaft
enclosure protected by a self-closing fire
assembly and having proper fire protection?
USC 2602,1 Is foam insulation used below
grade designed for underground use?
USC 704.4 Are members carrying masonry
wall fire protected with not less than one
hour protection?
USC 509,1 Are guardrails installed in
compliance with code?
USC 2502.4 How is foam plastic protected
at interior?
USC 2602.5.3 Is foam plastic protected at
roof construction?
USC Table 6-A What are the fire resistive
ratings of the following? (Provide
specifications and/or detail no,)
Exterior bearing walls
Interior bearing walls
Exterior non-bearing walls
Structural frame
Permanent partitions
Shaft enclosures
Floors
Roofs
Exterior doors and windows
USC 7089,2 & 3 Is firestopping provided?
PLANREV,OOC
Yes~ No _ Reference ~
Yes
No
Reference ~\"'T~
Yes Y- No Reference
Yes = No -L:::-Reference --/:::Jk
Yes _ No _ Reference --tJ' k
Yes _ No _ Reference ~}J-'
Yes _ No _ Reference _N ~'
Yes _ No _ Reference J\A-
Yes No Reference
Yes No Reference tJ r'J\A
Yes No Reference tJo \--e..
Rating Reference
Rating \ h.r Reference
Rating f "",.-- Reference
Rating Reference
Rating Reference
Rating Reference
Rating N A Reference
Rating rV A- Reference
Rating rv A-- ~ Reference
Rating ~ Pr Reference
Yes 'f.... No _ Reference _NI'Ili'P,
4
NA-
Yes No Reference
Yes _ No.:6.... Reference
use 70a.3, 4 & 5 Are draft stops installed?
use 1a06.1 Do plans reflect consideration
of potential frost heave at exterior door
sills?
use 1504 Is roof fire retardant?
use Asphalt Shingle Application, Table
15-S-1 Has special protection for ice
buildup been provided from the eave of the
roof to a point 12 inches inside the exterior
wall?
use 1501,1 Has a 22 inch by 30 inch
minimum attic access been provided to all
attic areas?
use 1505,3 What is ratio of attic
ventilation
use 1506,3 is inlet of overflow scuppers 2
inches above the low point of the roof and
does it have a minimum opening height of 4
inches, and overflow drains and scuppers
designed per this section and spe
4715,2760?
use 906,1 Are smoke and heat vents
installed?
use 1005.1 Number of exits
use 1003,3 Are exits separated by 1/2 the
diagonal distance of the area served?
use 1003.4 What is the maximum
Ye~ No
Yes No
Reference
Reference
NA
,v~
Yes ''I--. No
Reference
Nb-
YesA No _ Reference
rJp,-
Reference
No
Yes
~t(:
Number Reference
Reference Y ..e..~
Number of Feet OJ::
distance to exits?
use 1004,2 Do doors swing in direction of Yes L-No_
travel?
use 1004,3 Identify lock or latch type at all Reference
doors,
~c3te=
Yes X- No
use 1004,6 Are all exit doors 3'0" x 6' a"
minimum?
use 1005.5 Do any dead end corridors
exceed 20 feet in length?
use 1005,7 What is the fire rating of
corridors?
Yes No Y--
Rating Reference ~7<:~ ~ ' 0 oS-: 7
~~'t>L. ~SJ
5
PLANREV,OQC
use 1005,8.1 Are one hour rated door
openings protected by a tight fitting smoke
and draft control assembly having a fire
protection rating of not less than 20
minutes?
use 1005,8.1 What rating will roll up doors
at corridor have?
use 1005,8,2 Are openings other than
doors into the corridor protected by 1/4 wire
glass in steel frames with a total area not
exceeding 25 percent of the corridor wall?
use 1006,2 Are stairways serving an
occupant load of 60 or more at least 44
inches in width?
use 1006,8 Is an approved barrier
provided at stairs to prevent persons from
continuing on into the basement?
use 509.3 Are handrails of open stairs
installed so that a 4 inch sphere cannot
pass through?
use 1006,9 Are handrails installed 34 to
38 inches above nosing of the tread and of
continuous length of stairs and extending at
least 6 inches beyond top and bottom
risers/
use 1016.4 Is panic hardware to be
installed?
use 1020,1 Does the furnace room have 2
exits? If not, explain.
use 801,1 Does the interior finish comply
with use Table BS? ,
use 710,1 Are openings in fire rated floors
walls and ceilings firestopped?
M ubc 713,11 Are fire dampers installed in all
duct penetrations of 1) area and occupancy
separation walls, 2) horizontal exit walls, 3)
shafts, 4) fire rated floors and ceilings, 5)
fire rated corridor walls?
*use 713,9 Is safety glazing provided at
hazardous locations? 2406,4
*
PLANREV,OOC
Yes
Rating
Yes
No
'2. ""~
No
Reference 'fJA--
Reference
Reference
~
~oti::
Yes~ No _ Reference
Yes _ No _ Reference ~/A-
Yes
Yes
No
No
Reference
Reference
fJ~
NjJ
Yes _ No _ Reference --tJ ~~
Yes
No
Reference
6
~BC 703,1 Are documentation and details
~ provided in plans/specs for all firestop
materials?
***SBC 1340,0300 SUbp,2
Are walks of slip-resistant surface?
Are walks at least 48 inches wide?
Are walks installed with a maximum slope
of one vertical to 20 horizontal?
Are curb cuts from parking area to walks
installed with a maximum slope of one
vertical to 20 horizontal?
***SBC 1340,0300 Subp, 3
Does building have at least one entrance or
exit accessible for use by the handicapped?
Is the handicapped entrance at the main
lobby or corridor?
Are all levels of the floor of access handicap
accessible? (i.e. raised floors behind
counters, checkout areas and other
changes in floor elevation)?
Does the building provide access to all
levels by means of a ramp or elevator?
***SBC 1340,0300 Subp, 5
Are handicapped spaces as least 12 feet in
width?
Are handicapped spaces as near as
practicable to building entrance?
***SBC 1340,0300 Subp. 6
Do vestibules of two sets of doors provide
seven feet between doors?
Do doors provide a clear opening width of
31 in.?
Are doors operable by a single effort with
one hand?
Are doors serving toilet rooms or stalls
unlockable from either side?
Are floors level at doors within 1/2 inch?
Does door opening hardware have lever
handles?
Is door opening hardware 42 inches above
oor or less?
***SBC 1340,0400 Subp, 3
PLANREV,OOC
Yes
No
Reference
Yes No Reference
Yes""" No = Reference
Yes ~ No _ Reference
Yes L No _ Reference
u~
tJc)~-f
Yes>!:=- No _ Reference ~C tJc!l~<
Yes ~ No
Reference
Yes 'I- No
Reference
v.._ No _ Relerence~
Yes ~ No Reference
Yes x... No Reference
Yes No Reference Nok
Yes No Reference \\\" ~
-
Yes No Reference Nrui
Yes No Reference
"
Yes No Reference
Yes ~o _ Reference
Yes ~No _ Reference
7
?re separate handicapped facilities provided Yes No Reference
for each sex?
"'SBC 1340,0500 Subp. 1
i- Does toilet have 36 inches min, clear space Yes No Reference
in front of bowl?
Does toilet compartment have 36 inches Yes No Reference
minimum clear access width?
Are toilet seats 17 inches to 20 inches Yes No Reference
above floor?
Are grab bars mounted on both sides or one Yes No Reference
side and rear wall?
Are grab bars capable of supporting at least Yes No Reference
250 pounds?
Are grab bars 1-1/2 inches in diameter with Yes No Refernce
1-1/2 inches clearance from walls?
Is horizontal grab bar at least 10 inches Yes No Reference
above toilet seat?
Does horizontal grab bar extend at least 6 Yes No Reference
inches in front of toilet bowl?
Does vertical grab bar extend 12 inches Yes No Reference
above toilet seat to 30 inches above toilet
seat?
Is vertical grab bar mounted 12 inches in Yes No Reference
front of toilet bowl?
***SBC 1340,0500 Subp, 2
Does urinal have at least 31 inch clear Yes No Reference
access width?
Is the front lip of bowl 18 inches or less Yes No Reference
above floor?
***SBC 1340,0500 Subp,3
Do lavatories have a clear access width of Yes No Reference
at least 31 inches?
Do lavatories have a clear height of at least Yes No Reference
29 inches to bottom of apron and maximum
height of 34 inches to rim of fixture?
Is there 12 inches minimum clear depth Yes No Reference
under fixture?
Do water control valves have lever handles? Yes No Reference
***SBC 1340,0600 Subp, 2
Is bottom of mirrors and/or shelves no Yes No Reference
higher than 40 inches above floor?
PLANREV,QOC
8
Is the working height of towel racks, Yes No Reference
dispensers or similar appliances no higher
than 40 inches above floor?
***SSC 1340,0800
Are elevator controls, thermostat, manual Yes No Reference
fire alarm, electrical switches and
recepatacles no higher than five feet above
floor?
***SSC 1340.0900 Subp. 1
Are raised letters, labels or plaques used for Yes No Reference
tactile identification?
Is tactitle identification between 4-1/2 feet to Yes No Reference
5 -1/2 feet above floor?
Are numbers tactilely identified at elevator Yes No Reference
door jamb at each floor?
Are numbers between 3 1/2 feet and 4 1/2 Yes No Reference
feet above floor?
***SSC 1340,0900 Subp, 3
Are elevator controls no higher than 5 feet Yes No
above floor?
Are elevator controls tactilely identified? Yes No
***SBC 1340,0900 Subp, 4
Are doors to staris, loading platforms, boiler Yes No
rooms, other hazardous areas provided with
knurled door handles?
***SBC 1340.0900
Is handicapped parking sign 8 inches by 12 Yes No
inches post mounted 42 inches above grade
to center line of sign?
"UBC 0511(c)
Does at least one water fountain have a Yes No
spout height within 33 inches of the floor
and up-front, hand-operated controls?
Is water fountain alcove at least 32 inches Yes No
in width?
**USC 0511(d)
Is public telephone installed so that Yes No
handset, dial and coin receiver are within 54
inches of floor?
PLANREV.DOC
9
) Does public telephone also have an
~unobstructed access within 12 inches of
telephone and not less than 30 inches in
width?
PLANREV,DOC
Yes
No
10
ATTACHMENT C
TOTAL ALLOWABLE FLOOR AREA
use Sec 504, 505,1
Total Allowable Floor Area. If any allowable increases are used, please specify which and show
calculations. Attach separate sheet if required,
16:~ l3 t4
I
~ Q.k ~ "'?"'1-
use 1300,3906 State Statute 168,615 (1994)
Requirement for restroom in public accommodations
Are requirements met for restroom in public accommodations?
PLANREV.DOC
11
ATTACHMENT D
TOTAL OCCUPANT LOAD
USC 1002
Total Occupant Load. Show breakdown of various occupancies, separation walls or other occupant load
break points for determining total occupancy load, Attach separate sheets if required,
Room Name
Room Number Area (S,F,)
Occupant
Load Factor
USC Table 10A OCCUPANT LOAD
PLANREV.DOC
12
Use sheets as necessary,
PLUMBING FIXTURES REQUIRED
SPC 4715,1210, USC Table 29-A
PART 1
Required Number of Plumbing Fixtures, Show calculations,
Room Name
Room No,
Area (SF)
PART II
Total Occupant Load:
Fixtures Ratio
Water Closets 1 per _ occupants
Urinals 1 per _ occupants
Lavatories 1 per _ occupants
Drinking Fountains 1 per _ occupants
Bathtub or Showers 1 per _ occupants
Kitchen Sinks 1 per _ occupants
Service Sinks 1 per _ occupants
PLANREV.OOC
Occupant
Load Factor
(Per Part I)
Total
Installed
ATTACHMENT E
Occupant Load
Total
Handicap
Eauipped
13
ATTACHMENT F
SNOW LOAD COMPLIANCE CALCULATIONS
USC 1605.4, Table 16-C
Provide details and engineering on any roof areas subject to increased snow loads. Show calculations and
sketches. Attach separate sheets if required.
PLANREV.DOC
14
ATTACHMENT G
IDENTIFICATION OF APPLICABLE BIDDING ALTERNATES
use 0303(c) 106,3,1, Sub 7
Identify all bidding alternates being applied for under this permit. Attach separate sheets if required.
PLANREV,DOC
15
SUBCONTRACTOR LIST
ATTACHMENT H
City of Prior Lake Ordinance - requires contractors and certain subcontractors performing work in
the City of Prior Lake to be licensed, Please provide the names, ete, of those people who will be
performing work related to your project and return this list as soon as possible prior to job commencing.
JOB ADDRESS
General Contr.
Address
Phone
Excavator
Address
Phone
Masonry (Fdtn)
Address
Phone
Masonry (Fplc)
Address
Phone
Carpentry
Address
Phone
PLANREV,OQC
Roofing
Address
Phone
DATE
Address
Drywall (Hanging)
Phone
Drywall
Address
Phone
Address
Siding or Stucco
Phone
HVAC
Address
Phone
16
CITY OF PRIOR LAKE
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372
FAX # 447-4245 - TELEPHONE # (612) 447-4230
FAX COVER SHEET
DATE: 10 .lGt- q i
TO: DD..t'\ '(:. ~ 11. V\
FROM: JIQ.,# .M. s.~Ye..t""
SUBJECT: ~ N ,~/fe..l- ~ 'i7..153
TIME: 10" "'SO
FAX#: ~ 1'30-0(,'$3
MESSAGE: Pka.s! +1kc;J. ~c~se.d. '; ~')
k '-0 rt'\ P l~ I-~ d.
t"\~d ed +0
Number of Pages Sent (Including This Page):
3
MEMORANDUM
FROM:
RE:
August 6, 1998
Jay Scherer, Building Inspector
Bob Hutchins, Building Official
Jenni Tovar, Planner~pr
Certificate of Occupancy issuance Park Nicollet Clinic
DATE:
TO:
Based on yesterday's inspection, the following issues need to be
submitted/addressed prior to Planning Department approval/sign off:
. Dead trees must be replaced. This includes two dead maple trees
located in parking lot islands.
. Weeds growing in areas that were seeded must be removed.
Specifically, there are weeds over 12 inches in height located around
entrance sign along Franklin Trail.
" '\ {<, ( ;:. r l.p \ '" t.t c\ b 5
for \ c;..-J ~(~t 1'15 -tV I'
I (.II
3 q.,g or ~X~/l-"c:\ Le:tft..,.... of Crtd 1+
,
I ~ -+0 10/3J/1<7,
C :\J E N N I\CE RTOCC\P NICOLET. DOC
Bl~, V-Pl -
Punch List
Park Nicollet Building
Project # 97-36
August 12, 1998
The following items are required by the Engineering department for final approval:
1. Establish turf on entire site per the approved plans.
2. Grade pond on west side of property to match sheet C4.1. Provide actual survey of
pond and call the Engineering department prior to placing topsoil and turf
establishment. Serious erosion is occuring above the eastern portion of the pond. It
appears that the slope to the parking lot exceeds 4: 1.
3. Restore all disturbed area adjacent to this property to their original condition.
Regrade area adjacent to Hollywood Restaurant parking lot to drain to pond and
provide turf establishment. Do not disturb gate valve located in this area during
grading operations.
4. Provide all required easements for utilities and roadways.
5. The hydrant on Toronto Avenue has not been painted.
~w
~K:--
Sue McDermott
Assistant City Engineer
CITY OF PRIOR LAKE
16200 E~ir~f~~l}t~Z~~~ip?f8}llCNe~~Jlinnesota 55372-1714 / Ph, (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
DATE: 7.... '2..Ct, ...q'l
To: bv-~ V bSS
@ # 8'17- 7 Bc.f3
@#
@#
m
+-'
.
NUMBER OF PAGES:' S (including cover)
FROM:Ja.y M. sc.kue.v
FAX No.: 447-4245
CJ)
Notes From The Sender:
PLt.rt <L
M e.l.d
-
1;\'\.d
~ b~
\~-\- at (~s
Co \I\^ rk1<. d
+l~1-
m
I-
.
x
PLEASE CALL j~'1
AT lf41- liaS L IF You Do NOT RECEIVE ALL AGES.
16200 Eagle Creek Ave, S,E" Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
..-
AN EQUAL OPPORTUNITY EMPLOYER
Welsh
Construction
5666 Lincoln Drive, Suite 205
Edina, Minnesota 55436
612.897,7851 Fax 612,988,9056
August 9, 1999
Mr, Jay M, Scherer
Building Official
City of Prior Lake
16200 Eagle Creek Ave, S.E,
Prior Lake, N1N 55372-1714
Re: Park Nicollet Medical Clinic Building
Sub: Permanent Certificate of Occupancy
Dear Jay:
rr:~ ~
-+1"-A- ~ ~
~...
\,
"'\
\
This letter is written in response to your fax to me dated 7/26/99 with attachments (copy attached),
c-..J!.
~
~
..
~
(f
I have visited the site and it is our opinion that the items that are the responsibility of Welsh Construction
Corp. per the attachments have been completed. We are not responsible for the roadway or utility
easements (item #4 on Sue McDermott's letter) and consequently refer you to Health System Minnesota for
verification of this item,
We hereby request that a [mal and permanent certificate of occupancy be issued for this facility. Please
notify me in writing as to the status of this request.
Thank you in advance for your consideration,
Sincerely,
c!drk
Project Manager
Welsh Construction Corp,
cc: Duane Spiegle, Health System Minnesota
Harlan Nelson, Health System Minnesota
Dean Williamson, Frauenshuh Companies
,,/26/99 MON 11:19 FAX 61244i4245
CITY OF PRIOR LAKE
~OO;)
7'7-/S3
MEMORANDUM
FROM:
RE:
AugustS, 1998
Jay Scherer, Building Inspector
Bob Hutchins, Building Official
Jenni Tovar, Planner....jpt
Certificate of Occupancy issuance Park Nicollet Clinic
DATE:
TO:
Based on yesterday's inspection, the following issues need to be
submitted/addressed prior to Planning Department approval/sign off:
. Dead trees must be replaced. This includes two dead maple trees
located in parking lot islands. r./
(!J Weeds growing in areas that were seeded must be removed.
Specifically, there are weeds over 12 inches in height located around
entrance sign along Franklin Trail.
.1" ft.'.;' \L.p\ 1\ ~c\ '(.) j
fD.r \ c--d~/~/''5 +V r
G ~ on W(;yvO F e/ fh ;'f-,
1~1
31hl 0(' ~x.~t"rJ L~~,... of Crtcl,"t-
\ ~ -fo 10/31/1<7 I
C :\JI!N NI\CERTOCC\P NICO LET. DOC
TO:
FROM:
DATE:
RE:
cc:
Robert D. Hutchins, Building Official
Jan~ Kansier, Planning coordinator~
December 8, 1999
Building Permit #97-153, Park Nicollet
Clinic
Don Rye, Planning Director
Jenni Tovar, Planner
Steve Horsman, Zoning Administrator
We will not sign off on a Certificate of Occupancy until the sign violation has
been corrected. We have sent many letters to the property owners informing them
ofthe violation and the means to correct it. However, we have received no
response. We will send another letter to remind them of the need to correct this
violation, but it is up to the property owners to make the correction.
Thank you for your attention to this matter.
1: \99fi1es\99corres\jane\parknic,doc
Memorandum
DATE: November 22, 1999
TO:
Jane Kansier
\2-~~
FROM:
Robert D. Hutchins
RE: Building Permit #97-153 Park Nicollet Clinic
C.C.: Jenni Tovar
In a cooperative effort to close the building file, the Planning Department needs to signoff
on the Certificate of Occupancy. The following item needs to be considered before
signing off. The Inspection Department received a Memo from Jenni Tovar on 9/17/99
regarding Planning Department corrections on the Clinic. In a meeting with Don Rye, I
had questions regarding the 2 items required. He indicated that I should contact Steve
Horsman on the zoning violations. Steve is in the process of contacting the Clinic owners
dealing with item #1. The sign was not part of the original building permit. Steve also
stated that item #2, dealing with weeds, is not enforceable at this time due to the City
ordinance stating that weed compliance is only enforceable, between May 15 and
September 15 of a calendar year.
Thank you for your attention to this matter.
enc.
emorandum
-r
To: Jay Scherer, Building Inspector
From: Jenni Tovar, Planner J~
Date: 09117/99
Re: Park Nicollet Clinic
On September 8, 1999, a final inspection was conducted at the site. The
following items need to be corrected prior to the issuance of a final Certificate
of Occupancy:
A sign permit obtained for the sign located along Franklin Trail.
s growing in areas that were seeded must be removed. Specifically, there
ds over 12 inches in height located around the entrance sign along
Trail.
l'
1
Memorandum
To: Jay Scherer, Building Inspector
From: Jenni Tovar, Planner j~
Date: 09117/99
Re: Park Nicollet Clinic
On September 8, 1999, a final inspection was conducted at the site. The
following items need to be corrected prior to the issuance of a final Certificate
of Occupancy:
A sign permit obtained for the sign located along Franklin Trail.
2
s growing in areas that were seeded must be removed, Specifically, there
cis over 12 inches in height located around the entrance sign along
Trail.
1
. ....-...~_._._. - _..- - - po,. ...~ .__-.-----. --..
,.._~_~.._..,___._..__' ,L"..__,____ --....-----------'
,..". ~\..,
',,-
i
Punch List
Park Nicollet Building
Project # 97-36
November 24, 1997
The following items are required by the Engineering department for final approval:
1. Provide a mylar "As-built" survey of the entire site which includes, but is not liniited
to, actual elevations of all new utilities, ties to all valves, length of all pipes, size and
type of all utilities, actual pond elevations, etc. _ t..:l\ \.'- ~e- <:'~T 0 ~\ ~ T \,0,)\ L L
'i='0~~ v-P v-l....~ ~v.... 1,,)'-1"'1 ~~~€'.
2. Establish turf on entire site per the approved plans.
~rR. \NCo. () ~ 9..~
3. Grade pond on west side of property to match sheet C4.1. Provide actual survey of
pond and call the Engineering department prior to placing topsoil and turf
establishment. c..c ~\,..~ IS Pi2.I.Nc., ~~ c;,y
4. Remove all debris from the entire site and adjacent properties that are a result of this
site development. W\IJ.. ..~ ~o Q,1,Je-t- l,.,) 'SP,2..-,.Il, o~ ., ~ cJ~c.t' ~U~
5. Restore all disturbed area adjacent to this property to their original condition.
~P~\.N~ C)F V w~ ...." .,.~ ~ !1-/:')+(uvt!= Sit., ~.r~
6. Bring all manholes, valves and clean outs flush with finished surface.
5~~ d- "li ~\.~ oJ-t'- 1)Q f'--t....~<... '-IF,\
7, Install bituminous wear course on all required areas.
-:. Pl2. "jo,,)l, "1. V
a-Ramp manholes at south end of "fmger" road to prevent-Slowplow damage.
, C2 O.....-'?L.::~ Snow
9. Provide all required easements for utilities and roadways.
~,\..'- FU,~~~j)
@Provide an additional coat of paint to all hydrants. Install 5' Hydra-finder flag on all
t~-')~ Cd- l ,
hydrants. Co (Vl-pL.';: ~ .
4h 7/~.
(g:;' i Evens
Engineering Technician IV
CITY OF PRIOR LAKE
16200 Eagle Creek Ave, S,E., Prior Lake, Minnesota 55372-1714 / Ph, (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPOR1lJNJTY EMPLOYER
. '~:.:~::\~~
--
{ZEG'D . ~ ~c<::r\ i
. f2-/31 ~,~*.
r- ~...
[
DATE "", I TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO. C;? - /(; ;;-.
CALLED-IN
SCHEDULED ,I), / -;, '/.'
COMPLETED
/' It::.
, , ~ ...
ADDRESS
OWNER
~ TELEPHONE NO.
lU 0 FOOTING
l4. 0 FRAMING
~ 0 INSULATION
o 0 WALL BD,
~ t:l. FINAL
~ 0 FOUNDATION
:x: 0 DEMOL.
~ 0 FIRE PREVo
0:(
~ COMMENTS:
!J." \, S ;\~ f.l,..t..l"...,-;<;. nlJ"'(""''t~
~ 2.. {?"',.~v~ (l",^,,\ d.. \r" ,~
~ '.',?" c ,"" (".,C', , c, r, ( r I
~ tl -- ~ r,
a: 1~"I', \ ,/ .;,.J .-,1, l- ~.\
~ c- ,./ '
~ . L' J,
a: (.::., V-d,cL-t ~c.~ r.J\
~ 'I, 1 ',. " ,1..,~\
~ f). ~"'C"(", <"'1. 1.,_ ("r".1 "', rl
l' t- ~~_ (l_ J, '- ' , ~ ~\~
~ r.._ ~-t "'.' (
i:5 I n I 'c ,',,<, 0:> f-' " I., -! " ,,- I (' rr. .. i ' t
~ ! I, r. q (\. _ \ \-- f .., "' '- '\- ,," ~ "" ~ ( ,
a:_ ,,'7 _', /,
:::> ". ~,:"
@
a:
lU 0 WORK SATISFACTORY:PROCEED
o 0 CORRECT WORK AND PROCEED
o 1& CORRECT WORK. CALL FOR P.EINSPECTION BEFORE COVERING
(,) C CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
C STOP ORDER POSTED, CALL INSPECTOR.
C INSPECTION REQUIRBJ.CALL TO ARRANGE ACCESS,
It /C/;.
"
f' I' C' "
r. / '
'C . (. "
?;o,. J
CONTR.
OPLUMBING RI
IZJ MECHANICAL r "
o WATER HOOKUP
o METER SETrrURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o PLUMBING FINAL
OSITE INSPECTION
o EXCAV,/GRADINGlFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW.UP
o SEPTIC FINAL
o FIREPLACE
o
/
',__J
. '.1, c, . J ,
" r l
\\ ~.
b2/\i - 'i.
ld-}ad _q,
'5{',2.\~~ 9.i>
~p~\.~,\ 'i~
~~~\~ 'l~
I
I
!
i
j
fo<<.w~ 'it..~v-~ r W\~~
\~'\-~'11
\~/,~-
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I
\~C\- C\1
\~A~-ttl
f'U1..Ul.~ v-.P T I,) \J ~
...- of
("
:.. .-1....
c (~
, I
....,' --
\ ',or:'
J. !', '.." i \
1~\'2 -~1
, '
o PHOTO TAKEN
call for the next inspection 24 hours in advance.
//(1
Owner/Coritr .'..on site
)'! rL~
Inspector I' i .'
, 1/.
',: If
-" \/
447-4230
Yellow CopyiSa No"".
_ Copylln."..,....'. File
-----_._~~-. -... ..-..:.--.. ....-.._~---_........-,;;------_.
r
I'" ,,', '
..,. .
TO:
FROM:
DATE:
RE:
cc:
, Memoranduni'
Jay Scherer, Building Inspector
Jane Kansier, Planning Coordinatof~
November 21, 1997 - U
Park-Nicollet Final Inspection
File
Following the in~ection of the Park-Nicollet site on Friday, November 21, 1997, there
are still items which have not been completed according to the approved plans. These
include the following:
1. The site must be sodded and seeded according to the approved landscaping plan dated
May 22, 1997, ~?,~\.~ l.f~ 9.~ Lo~ ~\~'- FoLl.-~~
2. The area surrounding the sign along Highway 13 must be landscaped according to the
approved landscaping plan dated May 22, 1997. - ~~ -
3. An irrigation system must be installed for the area shown on the approved
landscaping plan dated May 22, 1997. - 'S/WV'-I( -
We received a letter of credit for the landscaping on this site, This letter of credit will not
be released until one year after the City has inspected and accepted the landscaping on the
site.
Thank you for the opportunity to comment. Please let me know if you have any
questions.
<5vf1' of C\),.;)~'T.
k,)E'c....'i::,'1 CI;).J\ '1
l a - \ &'- 97
I: \97 fi1 es\97 sitep I\parknic\inspect. doc
,~
Trans-Alarm, Inc.
500 E. Travelers Trail
Bumsville, Minnesota 55337
Office (612) 894-1700 Fax (612) 894-1850
FAX NO.: d;) ~ - / /7 I
AnN: ,A~ ~~
CO. NAME: 7J-tf/n
DATE: / Z .../ to - '7 7
FROM: ~
NO. OF PAGES: ~
(INCLUDING FAX COVER PAGE)
~ As per your request 0 Please call to confirm receipt
o Please fax your reply
o FYI
NOTES:
4a fLP#.~
-
.I.,:. .I. \) , ~"
~
BP227S
BPl!176
MEMBER
"SfI'A4
MINNI!SOTA
BtJRGLAP &
. FIRe
A'sSOCIATION
\![
ASSOCIATeD
L.OCKSMrTHS
OF AMERICA
MEMIJE:R OF
NATIONAL
FIRE
PROTECTION
ASSOCIAilON
BURGLAR &
FIRE ALARMS
SPRINKI.iR
MONITORINa
UL. CENTRAL
STATION
CARD ACCESS
SYSTEMS
CARD Access
MONITORING
CLOSED
CIRCUIT
TV SYSTEMS
n~
HIGH
seCURITY
1.0CKS
MINN STATe
LICENSE
NO. 5254
.i....v.L
u.
DECEMBER 16. 1997
Trans.~,-Jlarm, Inc.
500 East Travelers Trail
Bumsvlne, Minnesota 55337-7503
Phone (612) 894-1700. FAX (612) 894-1850
Trans-Alarm, Inc. is monitoring an alarm system a~
the following location:
Name.
HSM/PRIOR LAKE
Cir::y
PRIOR 'LAKE
16705 FRANKLIN TRAIL SE
Scate MN
Zip 55372
Address
SCOTT STEPHEN
Contact Name
Premises Phone Number
889-9442
'FIRE SPRINKLER
Type of Syscem
Type of Notificaeion:
Local Siren
Central Station Connec~ion Only
x
Central Station & Local Siren
Other
If you have any questions regarding this alarm
sys~em, please feel fre~ to call our offics. You
will receive our complete cooperation.
Sincerely,
~~
Sally Anhorn
Centr~l Station Manager
Trans-Alarm, Inc.
bl
..
SEP-24-97 WED 08:21 AM
SEP-24-1~~7 06133
WELSH CONSTRUCTiON
- BELAIR
I:
~ SERCO Laboratories
rHA NU, O!~O~t 10UO
612 766 0109 P.01/01
l~\WIOleo"nl>'''-'''C2. $1.,.11I, MinftItOla ~11a 1I9lofl.1.'~G.7\72 FAX'11Q&1Iio1".
LUrOJlA~O'Jl.Y >>TM.~S~6 pPOaT NO~ 73164
09/*l.3/"
~'J!B caLLaCTBO:
DATI JtE(!EIVlSI):
coLLBCTED laV :
D~a~ 1
s~ T'YI'E ;
DelAi.:c
2200 Old flWY 8
)I_v Brighton, ... 56.1.3.2
A:et.1'a s Dean B%entenson
Page 1 ot 1
09/22/.7
09/22/91
CLrBrt
CLX}'.:lft
1)1t.%dDIG _art
eL~ENT'S XDJ PO 11"04
SJ:lt.CO S>>OLE NO & 1,.0'2857
$AlG'LE 1)'8sc:1Up~ON; prio~
Lake
clinio
ANAt- Y S 'J:S s
,
__---~---w--_.------~---.---~---.---~--- ---....-
Tota1 co~1~Or.a BaQtoria Ab.en~
Al.l .nal:t~e. were p"ni..- usinl ....l\ .... Q~'" _u4 ..tbod01<>9lM.
_laB 1:hat: _1" ,.. o~ ... _~'lY ha.~"'" na"""'" MY".
..._4 1;0 yo... 01:1>- ........:1... ..1:1.:1. ". at:m:ed !:Or '0 dal'. f...... i:he
dat. of th.ie report. 'then d1..~.e4 of by SDCO 'Labc:.rai:or1", plea..
c....tallt. _ if __ a""....~ .........-. 'fl'is...wozot: -., ..~ J>a
NP_..s, .-"Pi: i.. U,. ..,t:ire"y, wii:I><Nt. ~.- ""l.~'" ~l
from 5~CO ~~a~o~i.B.
Report s\1l3d tt.e4 by,
(}trl-D~
carol 'Davy
Pro;.c* lCa~ge1:
f~~~ c..,,-'1 co~"(C\\~~ '\C)
~L.t)c.';' \'" Q ~\.",<:>~2..
< ..ans "not 4.teoted at th1. ~eY&1ft_ ~.g F 1000 ~9.
TOTAL P.01
SYSTEM ACCEPT.-\~CE
13-75
Contractor's Material and Test Certificate for A bov~ground Piping
PROCEDURE
Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's
representative, All defects shall be corrected and system left in service before contractor's personnel finally leave the job,
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and,
contractor, It is understood the owner's representative's signature in no way prejudic~s any claim against contractor for faulty material, poor
workmanship, or failure to comply with approving authority's requirements or local ordinances.
PLANS
INSTALLATION CONFORMS TO ACCEPTED PLANS'
EOUIPMENT USED IS APPROVED
IF NO, EXPLAIN DEVIATIONS
YES
~YES
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS
TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE
OF THIS NEW EQUIPMENT?
IF NO, EXPLAIN
lJl YES
INSTRUCTIONS
HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES?
1, SYSTEM COMPONENTS INSTRUCTIONS
2, CARE AND MAINTENANCE INSTRUCTIONS
3, NFPA 25
....
L..J
o
o
o
LOCATION
OF SYSTEM
, SUPPLIES BUILDINGS
SPRINKLERS
PIPE AND
FITTINGS
1~7/71
DNO
DNO
DNO
YES
YES
YES
YES
DNO
DNO
DNO
DNO
?~
ALARM
VALVE
OR FLOW
INDICATOR
MODEL
MAXIMUM TIME TO OPERATE
THROUGH TEST CONNECTION
MIN SEC
2
QOD
MODEL
I----
! MAKE
r--
I
DRY VALVE
MODEL
I SERIAL NO
MAKE
TIME WATER
REACHED
TEST OUTLET'
MIN SEC
DRY PIPE
OPERATING
TEST
TIME TO TRIP
, THROUGH TEST
, CONNECTION'
MIN SEC
WATER
PRESSURE
PSI
AIR
PRESSURE
PSI
TRIP POINT
AIR PRESSURE
PSI.
L
,
,
r-
,Without
~OD
i With'
~OD
, IF NO, EXPLAIN
'MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED
Fil!:urr 1l,Ilal Pari J.
SERIAL NO,
ALARM
OPERATED
PROPERLY
YES NO'
1996 Edition
-
13-i6
I 'SL\I.L\'IIO' OF S1'RI'''l.ER S\STE\IS
i OPERATION o PNEUMATIC o ELECTRIC o HYDRAULIC
[ PIPING SUPERVISED, DYES ..-l NO I DETECTING MEDIA SUPERVISED 0 YES D.NO
DOES VALVE OPERATE FROM THE MANUAL TRIP. REMOTE. OR BOTH D YES o NO
DELUGE AND CONTROL STATIONS
PREACTION , IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN
VALVES ' FOR TESTING
; :::= YES =:J NO
i I DOES EACH CIRCUIT' 1 MAXIMUM TIME TO
\ MAKE \ MODEL DOES EACH CIRCUIT OPERATE
SUPERVISION LOSS ALARM? ; OPERATE VALVE RELEASE? i OPERATE RELEASE
YES , NO 1 YES I NO I MIN I SEC
I , T I I I
i
i LI)CATION ~ MAKE & i SETTING \ STATIC PRESSURE RESIDUAL PRESSURE 1 FLOW RATE
PRESSURE I & FLOOR ! MODEL I (FLOWING)
REDUCING , i ! : INLET (PSI) I OUTLET (PSI) INLET (PSI) I OUTLET (PSI) I FLOW (GPM)
VALVE TEST
, I I \ I 1 T
,
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 pSi (13,6 bars) for 2 hours or 50 psi (3.4 bars)
above static pressure in excess of 150 psi (10,2 bars) for 2 hours, Differential dry-pipe valve clappers shall be left
TEST open during the test to prevent damage. All aboveground piping leakage shall be stopped.
DESCRIPTION ~MATIC: Establish 40 psi (2.7 bars) air pressure and measure drop. which shall not exceed 1'1.2 psi (0,1 bars)
in 24 hours, Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall
not exceed 1'h psi (0,1 bars) in 24 hours,
I ALL PIPING HYDROSTATICALLY TESTED A-QiJiJ.SI (_BARS) FOR.:t. HRS IF NO. STATE REASON
I
DRY PIPING PNEUMATICALLY TESTED DYES o NO
EQUIPMENT OPERATES PROPERLY DYES o NO
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 FOR TESTING SYSTEMS OR STOPPING LEAKS?
, = YES o NO
TESTS ! DRAIN l ~EADING OF GAUGE LOCATE7~R W~TER I RESIDUAL PRESSURE WITH ~ IN TEST
i TEST I SUPPLY TEST CONNECTION: PSI (_BARS) i CONNECTION OPEN WIDE: PSI ( BARS)
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE
CONNECTION MADE TO SPRINKLER PIPING
VERIFIED BY copy OF THE U FORM NO. 85B :J YES 0 NO OTHER EXPLAIN
I FLUSHED BY INSTALLER OF UNDER.
: GROUND SPRINKLER PIPING DYES 0 NO
IF POWDER.DRIVEN FASTENERS ARE USED IN DYES 0 NO IF NO, EXPLAIN
CONCRETE. HAS REPRESENTATIVE SAMPLE
TESTING BEEN SATISFACTORILY COMPLETED?
BLANK TESTING NUMBER USED i LOCATIONS \ NUMBER REMOVED
GASKETS I
I
WELDED PIPING i YES C NO
IF YES, .,
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING
PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST eYES o NO
AWS 010,9. LEVEL AR,3?
WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS
OUALlFIED It, COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST r- YES c: NO
~
AWS 0109, LEVEL AR,3?
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE
. WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE
THAT ALL DISCS ARE RETRIEVED THAT OPENINGS IN PIPING A~E i YES C NO
SMOOtH THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED,
AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED?
---
CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ~ YES ;r-- NO
(DISCS) ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? L..: L-
l'
Figur.. 8.\ (a) Pari 2.
, 996 Edition
-
13-77
SYSTEM ACCEPT ASCE
HYDRAULIC
DATA
NAMEPLATE
NAMEPLATE PROVIDED IF NO, EXPLAIN
DYES DNO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN
REMARKS
NAME OF SPRINKLER CONTRACTO
SIGNATURES
s-;....,_ A.II.\ p.., ,
".' ~
SINCE 1968
9300 SEVENTY-THIRD AVE. NO., UINNEAPOUS, UN. 55428
PHONE (512) 424-4919 · FAX (512) 425-0870
INSTALLATION INSTRUCTIONS
COMBINATION FIRE/LEAKAGE RATED DAMPER-MODELS FSD1 AND FSD2
1- ..NlMUM ~ ON
WALL AROUND PERIMETER
(SEE NOTE 7)
1/4- MINIMUM ClrMANCE
(SEE NOTE II)
,~ =~=,
AIR FLOW
...
WALL
REVERSE
IotOUN11NG ANGlE
DAMPER MAY BE SUPPUED WITHOUT
~TOR MOUNTED. SEE DAMPER
MARKINGS FOR U.L USTEO ACTUATOR
MODELS AND THEIR SIZE LIMITS.
ALONG WITH ACT\JATOR INSTAUATlON
INSTRUCTIONS FOR FIELD MOUNTING.
A MANUAl. "LOCK-DOWN" QUADRANT
MAY BE INSTALLED ON THE 1/2"
DWolETER JACKSHAfT IN PlJ,CE OF
AN ACT\JATOR WHEN AN ELECTRICALLY
ACTIVATED THERMAL UNK IS USED
FOR ITEM S. THE ELECTRICALLY
H:TUATED FUSIBLE UNK MUST
H:TUATE AUTOMATICALLY BY A SMOKE
DETECTION SYSTEM.
SLEEVE
REVERSE ANGLE MOUNTING DETAIL
FOR GRILLES AND REGISTERS
~ DESCRIPTION
,. DAMPER FRAME
2. SLEEVE
3. MOUN11~'G ANGLES
4. S-JOINT. SLEEVE TO DUCT
~. CAUlKING MATERW.
II. FUSIBLE UNK flSS(
7. DUCT
8. U.L USTED FUSIBlE UNK
1. THE FOLLOWING INSTRUCTIONS ARE FOR DAMPERS
INSTALlED IN BOTH MASONRY AND GYPSUM TYPE FIRE
WALlS. SEE SUPPLEWENT FOR FRAMING AND OPENINGS
PREPARATION FOR DAMPERS INSTAU.ED IN A GYPSUM
TtPE FIRE WALL
2. THE FI~ RATED DAMPER IS SEALED INTO THE
SLEEVE WHEN PROVIDED BY FACTORY N40 MUST BE
POSITIONED SO THAT THE BlADES ARE WITHIN THE FIRE
RATED WAlL WHEN IN THE CLOSED posmoN. FIELD
INSTALlED SlEEVES ARE TO BE SIZED SO THAT THE
INNER SLEEVE IS EQUAl. TO THE OUTER DAMPER fRAME.
8. WHEN JOINING MULTIPLE SECTION DAMPER ASSEMBUES. USE
1/4-20 BOLTS ON BOTH SIDES OF DAMPER FRAME. SPH:E
BOLTS A MAXIMUM OF 8 INCHES ON CENTER AND A MAXIMUM
OF 2 INCHES FROM EH:H CORNER. WHEN FASTENING THE
DAMPER TO THE SL..EEVE. OR ATTACHING THE 1 1/2 lC 1 1/2
X 18 GA. (MINIMUW) MOUN11NG ANGLES TO THE SLEEVE. USE
lL4-20 BOLTS. "0 SCREWS. OR 1/4" LONG WELDS STAGGERED
lNTERMmENTLY Olol BOTH SIDES. SPH:E FASTENERS 6 INCHES
ON CENTER AND A MAXIMUM 2- moM EACH CORNER OF THE
ASSEMBLY. USING HOLE PRO\I1DED. SECURE FUSIBLE UNK
ASSEMBLY MOUNT TO SLEEVE OR DUCT.
4, MAXIMUM SINGLE SECTION DAMPER SHALL NOT EXCEED
36" X 48". MAXIMUM MULTIPLE SECTION DAMPER ASSEMBLY
SHALL NOT EXCEED 72" X 48-,
9. A CON11NUOUS 1/8- BtH> OF OOW-CORNING SllASTIC 732
RlV. PRECISION PA2084 OR GE RlV 108 SEALANT SHALL BE
APPUED TO NULUON JOINT OF MULTIPLE SECTION ASSEMBUES,
PRESS THE SURfACE OF THE sEALANT IN P~ TO DISPEL
JIN( AIR. ANOTHER IlEAO OF THE SAME SEALANT SHAlL BE
APPlIED BETWEEN THE DAMPER AND SLEEVE IN THE SAME
MANNER. ONLY THE AIR LEAVING SIDE OF THE DAMPER
FRAME REQUIRES CAULKING,
3. DAMPER MUST BE INSTALLED IN THE VERl1CAL POSmON
WITH THE DAMPER BLADES RUNNING HORIZONTAL AND
IN H:CORDANCE WITH NFPA-9OA.
~. TO ENSURE OPTIMUM OPERATION AND PERFORMANCE. THE
DAMPER MUST BE INSTAlLED SO THAT IT IS SQUARE AND
fREE FRON RACKING. DO NOT COMPRESS OR STRETCH
THE I)N.lPER FRAME INTO THE WAlL OPENING,
8, THE FIRE WALL. OPENING SIZE SHALL BE A MINIMUM OF
1/8" PER FOOT I.ARCER THAN THE CNERALL SIZE OF THE
DAMPER AND SLEEVE ASSEMBLY. AND NO LESS THAN 1/4"
lAAGER THAN Nf( SIZE OMtPER AND SLEEVE ASSEWBLY,
THE OPENING SIZE SHAlL NOT EXCEED 1/8" PER FDOT
PLUS 1-. WHEN WALL. OPENINGS EXcEEO THE PERMITTED
MULTIPLE DAMPER ASSEMBLY SIZE. SEE STEEL MUUJON
INSTALlATION INSTRUCTIONS FOR OI/ERSIZED OPENINGS,
10. THE LENGTH OF THE SLEEVE EXTENDING BEYOND THE SlOE
OF THE WALL IN-WHICH A ACTUATOR OR FH:TORY INSTAI.1.ED
H:CESS DOOR IS MOUNTED. CAN EXCEED 6 INCHES. UP TO
MAXIMUM OF 16 INCHES.
11. SLEEVE GAGE SHALL BE EQUAL TO OR HEAVIER THAN THE
GAGE OF THE DUCT AND SHALL CONFORM TO SMACNA OR
ASHRAf: DUCT STANDARDS. ONE OF THE FOLLOWING BREAK
AWAY TYPE CONNECTIONS MAY BE USED: PlAIN S-SUP.
HEMMED S-SUP. STANDING S-SUP. INSIDE SUP JOINT. Fl.AT
DRII/E SUP AND DOUBLE S-SUP. AODmONAL BREAKAWAY
CONNECTION OPTIONS ARE SHOWN ON THE REVERSE SIDE,
DUCTS MUST TERMINATE AT THE SLEEVE,
7, PERIMETER MOUNTING ANGLES SHALl. INCREASE IN SIZE
PROPORTIONATELY, SO THERE WILL BE A MINIMUM OF 1"
OVERlAP ON THE WALL AND THE ANGLES SHALL BE FLUSH
AGAINST THE WALL ENDS OF MOUNTING ANGLES ARE NOT
TO BE rAmNED TO r.ACH OTHER.
12, FOR RIGID CONNECTIONS. THE SLEEVE SHAlL BE 10 GA.
MAXIMUM. THE SLEEVE SHALL BE 16 GA. MINIMUM ON
DAMPERS NOT EXCEEDING 36"W X 24"H AND 14 GA. ON
LARGER DAWPERS,
l&AY ,~
rso-INST
THE FOLLOWING OPERATORS ARE APPROVED BY UL FOR USE WITH
CESCO'S MODELS FSD1 AND FSD2 IN DYNAMIC FIRE DAMPER SYSTEMS'
OPERATOR MAX. MAX. DAMPER MAX. FLOW
MODEL TYPE TEMP. (SQ. FT.) (FPM AT 4 IN. WG)
Ul14 120V 2500 F 2.5 1426
MA230 120V 2500 F 4 2500
MA318 24V 2500 F 8 .. "2500 :'
9 1100
MA418 120V '::,2500 Frl ." ,. .": 'r< '196::,~:~i"~rf -\}""'! ,..'.. 2500
1800
331-4829 20 PSI .1'2500 F ..J 4 2500
~ '," ~ f:.~. ~.'~ .''':. . '':1', 9 . 2000 ~:.'" ,';'~.;r:~~, .
,
331-2961 20 PSI 2500 F 12 2000 .:<::~ :', " ' ,
" ,
16 1800 ..-. .
/-
UL REQUIREMENTS FOR FIELD INSTALLED OPERATORS
...'.
lnderwriters laboratories requires that Ul classified dampers be installed with factory supplied UL listed operators
'hich bear the damper manufacturer's label. Field installation of dampers and operators must be done in accordance
'ith NFPA 90A and the instructions provided by the damper manufacturer.
ADDITIONAL BREAKAWAY CONNECTION OPTIONS
=Ianged duct connection systems supplied by
Juctmate, Ward, Nexus, TDC (Lockformer), an.d TDF .
:Engel) may be used, Cleat'spacing for these systems'
3hall be as shown in the table below, Minimum of one
::Ieat per side. Cle.ats must ,be evenly spaced.
"- -..;;. --~..
... - ,..' ..... .:,:" ~~',\, :~";;' .
.~, ....;..._ .,_ ' ,'r"'-
MAXIMUM NUMBER QF CLEATS .' ,"
, EVENLY SPACED '
DUCT SIZE WARD, NEXUS OR
(INCHES) DUCTMATE
FLANGE SYSTEMS
2x12 or smaller 1 er side
Under 24><24 2 er side
24x24 or larger 3 er side
36x48 or larger 3 on top & bottom
4 on each side
48x48 or larger 4 er side
TDC (LOCKFORMER)
OR TDF (ENGLE)
SYSTEMS
1 er side
1 er side
2 er side
3 per side
3 er side
Use the table below for Type C dampers with screw joint
breakaway connections.
MIN, DUCT SIZE MAX. aTYOF NO. 10
(INCHES) SHEET METAL SCREWS
22 INCHES DIA, 3
36 INCHES DIA, 5
SCHEMATIC FOR OPERATORS OPERATING SIMULTANEOUSLY
AIR SUPPLY
20 PSI MIN,
2S PSI MAX.
POWER
SUPPLY
120 V,
+
fLANGED SVMu DETAILS
FLANGED SYSTEMS SHOWN
TDe/TDF ROLLFDRMED SYSTEMS ARE SIMILAR
FSD695
JUNE 1995
ADDENDUM
MODEL SS90-B2 TROUBLESHOOTING GUIDE
Verify that desired options are available on unit before troubleshooting. Refer to pages 2 & 2A for electrical connection
information and the maintenance and service page of this manual for fuse locations. Troubleshooting shall be perfonned by
factory authorized personnel only. Service and/or installation by unauthorized personnel shall void warranty. Review the
following guide prior to requesting technical support. If technical support is required, unit serial number (found on front of
manual and inside unit), as well as distributor who supplied unit must be supplied.
SYMPTOM
1. Red Power LED does not light.
2. Green Battery LED does not light & trouble
sounder stays on.
3. Amber Disable LED does not light
4. Unit goes into alarm as soon as power is applied
5. Annunciator does not shut offwhen door meets
down limit.
6. Unit closes door before optional voice message
is complete.
7. Unit does not respond to manual test button.
possmLE TROUBLE
A) Primary power source turned off.
B) Loose connection on lB5
C) Incorrect polarity on D. C. unit
D) Incorrect power source applied. Verify voltage
and check fuse Fl.
A) Battery leads not connected or leads may have
bad connector.
B) Battery connected with using incorrect polarity.
Red (+) Black ( - ). Check fuse F3
C) Battery threshold circuit requires adjustment.
Call Tech Support!
D) Battery totally discharged. Replace battery.
A) Motor control voltage not connected to lB3
B) Motor control is D. c.. Check polarity.
C) Control voltage is above 30Y. Check fuse F4.
A) Alarm loop is not connected properly to lB 1.
B) Alarm loop which is not being used must
have jumper or resistor installed. If using N/C
loop (lB 1-2&3) , resistor must remain in
TBI-4&5, etc.
A) Aux. down limit switch not connected properly.
B) Ifusing N/O down limit lB 1-1& 16, jumper
must remain in lBl-l&18.
A) Alarm delay must be lengthened to
accommodate message. Call Tech Support!
A) Unit is detecting down limit. Make sure Aux.
down limit is connected properly. IfN/O down
limit is used, N/C loop (lB 1-1& 18) must have
jumper installed.
B) Possible defective switch. Call tech support.
UNIT SERIAL NUMBER DISTRIBUTOR
TECHNICAL SUPPORT (717) 455-0577 9AM - 5PM EST MON-FRI
r-.I: )l
. '175
THE "SS90" SERIES
RELEASE DEVICES
MADE IN THE U.S.A.
MODEL B2 INSTALLATION MANUAL
U.L. LISTED
CANADIAN LISTED
CSFM: 7300-1418:100
'~~1 -1 7115'
GENERAL DESCRIPTION
SERIAL NUMBER
The Solid State Securities "SS90" Model B2 Time Delay Release Devices are U .L. Listed, Canadian Listed. and CSFM Listed
for use on rolling doors, single-slide and center parting level and inclined track doors. All models are normally energized Fail-
Safe Releasing Devices incorporating an internal 72 hour battery pack and state of the art electronic control circuitry. The
"SS90" Series Release Devices respond to emergency conditions generated by manual or automatic normally closed initiating
devices and shall be used in conjunction with a temperature fuse link system.
The "SS9O" Series Release Device *features include separate adjustable time delays for alarm and power loss,up to 72 hours
battery support for release and smoke detectors, motor voltage sensing, form-C relay outputs, proximity/down limit detection,
annunciator ou1P.uts with voice module options and trouble diagnostic capabilities. jlECheck model label on unit to be
installed to venfy applicable features.
CAUTION: Review all installation instructions, procedures, cautions and warnings contained within this manual
prior to installing anellor servicing this product. As with all releasing device systems, maximum fire protection is
provided when installed in accordance with factory specifications and used with fuse link systems.
Fail-safe operation can only be provided with input power applied. DO NOT install this unit without fuse links.
TEST SYSTEM WEEKLY TO ASSURE PROPER OPERATION.
Installation and testing to factory specifications shall be performed by factory authorized pe"onnel for
proper operation in accordance with all of the latest National Fire Protection Association (NFPA), Under-
write" Laboratories (UL), National Electrical Code (NEC), local, state, county, district and/or other
applicable building and fire standards, guidelines, regulations and codes including, but not limited to, all
appendices and amendments and the requirements of the local authority having jurisdiction (AHJ).
LISTED
USTED
c@~
@
99Y9
RELEASING DEVICE
REWSlItG DEVICE
smBIE DEDEBRAYAGE
TECHNICAL SUPPORT (717) 455-0577
HAZLETON.PENNA 18201
cg 1997 SSS!. PATENTS PENDING ALL RIGHTS RESERVED
P/N:REVB497
J "
,
" .'
THE "SS90" SERIES
RELEASE DEVICES
MADE IN THE U.S.A.
MODEL B2 INSTALLATION MANUAL
U.L. LISTED
CANADIAN LISTED
CSFM: 7300-1418:100
GENERAL DESCRIPTION
SERIAL NUMBER
,,..' i ,~ ~- -\ ~;J .,
, ,u I . ; ;' ~)
The Solid State Securities "SS90" Model B2 Time Delay Release Devices are U.L. Listed, Canadian Listed. and CSFM Listed
foruse on rolling doors, single-slide and center parting level and inclined track doors. All models are normally energized Fail-
Safe Releasing Devices incorporating an internal 72 hour battery pack and state of the art electronic control circuitry. The
"SS90" Series Release Devices respond to emergency conditions generated by manual or automatic normally closed initiating
devices and shall be used in conjunction with a temperature fuse link system.
The "SS90" Series Release Device *features include separate adjustable time delays for alarm and power loss,up to 72 hours
battery support for release and smoke detectors, motor voltage sensing, form-C relay outputs, proximity/down limit detection,
annunciator outputs with voice module options and trouble diagnostic capabilities. *Cbeck model label on unit to be
installed to verify applicable features.
CAUTION: Review all installation instructions, procedures, cautions and warnings contained witbin this manual
prior to installing and/or servicing this product. As witb all releasing device systems, maximum fire protection is
provided wben installed in accordance with factory specifications and used with fuse link systems.
Fail-safe operation can only be provided with input power applied. DO NOT install tbis unit witbout fuse links.
TEST SYSTEM WEEKLY TO ASSURE PROPER OPERATION.
Installation and testing to factory specifications shall be performed by factory authorized penonnel for
proper operation in accordance with all of the latest National Fire Protection Association (NFP A), Under-
writers Laboratories (UL), National Electrical Code (NEC), local, state, county, district and/or other
applicable building and fire standards, guidelines, regulations and codes including, but not limited to, all
appendices and amendments and the requirements of the local authority having jurisdiction (AHJ).
LISTED
USTED
c@wn
REI.EASING DEVICE
smBaE DEDSlRAYAGE
@
99Y9
RELEASING DEVICE
'TECHNICAL SUPPORT (717)455-0577
HAZLETON.PENNA 18201
(Q 1997 SSSI, P A'TENTS PENDING ALL RIGHTS RESERVED
PIN: REVB497
* TYPICAL INSTALLATION
FIGURE 1
~-,~---
t... L --.::::------.-
------ ----
LJ&ENDLINK~_______,
SS90-B2 C~'TURNBUCKL ' FU~iiINKS
RELEASE DEVICEI ~ \ . . \
CO~LP~ rog~ \\l
\. '\
\ ,',
" \.
\ "'"
j':)
j; ,,!
'. f
I, (
\ . , \
\" .
OPTIONAL :]
REMOTE TE!IT PLATE
[:1
-------
------.oe
'..........-----.---
'--
---
-----~
* Actual configuration may differ. See door manufacturers recommendations for use of this device with
specific door. DO NOT exceed 401bs maximum pull on release device or install this unit without fusible links.
"SS90" MODEL B2 INSIDE VIEW
, FIGURE lA
o
DIAGNOSTIC LED's
END LINK
TROUBLE SOUNDER
MJX. POWER RESET
1m
El
TDS
* TRANSFORMER FOUND IN 120V AC
MODELS ONLY
TEST SWITCH 0
lA
SS90-B2 ELECTRICAL CONNECTIONS
(2)
End of Line Relay
AsperU.L.864
(4)
00 Not loop wires under
terminals. Break. wire run to
provide system supervision.
(+)
(-). (1)t.
Smoke detector \ ...,:-:- --------
(5) "...U~>-<1L - - --
C1J
Use TBl-j for r- DOWN UMIT N/O
common !- DOWN LIMIT N/C
l
FROM M<Yf()R \ ;6~ \
(6) (_) (+)
TB5 - CHASSIS MOUNT r:T:T":l
POWER SUPPLY INPUT ~
ORD
BATIERY
\~j
FIGURE 2
CONTROL BOARD
r----------..,
I I
I I
I I
I TBl I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I TB3 I
FF1 (+)_ _ _ _ _ _ - - J
-----\
I
I
I
1(1)
I
Trouble relay I
non-delayed 1
2A @ 30VDC I
Delayed relay I
lA @ 30VDC I
____.-J
6
7 (+)
8
9
10
11
12
13
14
15
16
18
I TB2- AUX. POWER (3)
p~ q:u:-- (+)
RED
~ (+)
(- )
BLACK
(1) FACTORY INSTALLED JUMPERS: REMOVE WHEN CONNECTING TO N/C DEVICE
(2) SUPERVISORY DEVICE MUST BE INSTALLED
(3) ALL FUSES lA @ 250V, 2AG FAST ACTING
(4) MAXIMUM LOOP RESISTANCE 100 OHMS
(5) SEE NFPA 80 AND NFPA 72-1993 FOR PROPER PLACEMENT OF DETECTOR
(6) CLASS I WIRING MUST ENTER PROPER OPENING. SEE FIGURE lA
Installation of all wiring must be performed in accordance with, but not limited to, the latest NFP A, U .L. and
NEC standards and codes, as well as the requirements of the fmal authority having jurisdiction. In addition, all
installations subject to the Canadian standards, shall be performed in accordance with the Canadian Electrical
Code, Part I, with respect to wiring type, wiring gauge related to power capacity requirements and circuit length
and wiring methods.
2A
NOTESnESTRECORDS
Copy this sheet and attach to manual for additional test data as required. Maintain test records for future
reference.
UNIT SERIAL NUMBER:
TEST DATE
PERFORMED BY
WITNESSED BY
COMMENTS
4
f.
* TYPICAL INSTALLATION
FIGURE 1
~~-".' -
-.._~~---
e:;:1 --~
\Lb END~.
SS90-B2 1..=:I'TURNBUCKL' FU~~' ~
RELEASE DEVICFJ '"'\ - . . \
CONTROL PANEL FUSE LINK ....':--.
~
\\
. I
. \
.... \
. \
. ". i
.. I
I
I
""'T
OPTIONAL ~
REMOTE TEsr PLATE
".". ."
MOTOR /,/ . / \ '",
f?:~
\ l.~~~/.//\
li~~-~ I
L.._ ' ..' ,-....:::;::::::::-----...__ ' I
~ : I ..~_ -_ --_I I :
i' ~1!
. I .-.j I /
I 1 I
I ~+
i I
! I rtm
I
i OPTIONAL
I ANN UNCIA TOR
. I
. \
. . \.,
",' \
,
"\"
~._:i
1 ",
.----
--
~.~-----
~. . .
----..oL.__
--
~-
.
------~-_.l
--.
-.
* Actual configuration may differ. See door manufacturers recommendations for use of this device with
specific door. 00 NOT exceed 401bs maximum pull on release device or install this unit without fusible links.
"SS90" MODEL B2 INSIDE VIEW
FIGURE LA,
o
DIAGNOSTIC LED',
END LINK
TROUBLE SOUNDER
AUX. POWER RESET
iii
El
TB5
* TRANSFORMER FOUND IN 120V AC
MODELS ONLY
TEST SWITCH 0
IA
TEST PROCEDURES - TO BE PERFORMED BY FACTORY AUmORlZED PERSONNEL ONLY!
CLEAR FIRE DOOR OPENING AND PROIllBIT TRAFFIC THRU DOOR OPENING WHll.E
TESTING!
Testing does not affect normal operation of alarm system when connected to release device/control panel. Testing of the SS90-B2 is
independent of, and shall in no way be interpreted as an alternative method of, testing of a central tire alarm system, motorized
operator and/or any other system component employed on the fire door or counter fire door installation. Complete testing can only
be accomplished with power applied to unit. This procedure describes testing of all features standard to this unit. Verify options being
used. as well as factory ordered options. All tests may not am>lv.
POWER UP SEQUENCE:
Turn on power to unit. When power is applied to unit IDlder test the Power LED (red) will light on the bottom of the release device and the
battery trouble smmder will begin to beep. Connect battery leads to silence battery trouble. Green LED will light indicating battery is
connected and charging.
Make sure power is turned "off" to motor at this time (ifunit is installed on motorized door) and door is in the open position.
Test Procedure
1. Enclosure mOlDlted test switch: Depress and continue to hold test button on side of release device/control panel. Annunciator
(option) will turn on indicating a door closure is about to occur and after 10 second alarm delay unit will release door. Release test
button.
2. Leave door in the closed position. Note that the amber Motor SenseI''Lower Limit" LED is lit indicating that the door is in the closed
position (applicable when lower limit feature is used). Depress and continue to hold test button on side of release device/control
panel. Active "Lower Limit" logic will inhibit the unit from releasing the door.
3. Reset ftre door and then reset release device by pushing reset lever in direction of arrow as indicated on device label. Fully insert end
link thro release device side opening and release lever to latch end link. Raise door. Note that with door open the amber LED is now
off.
SEE "OPTIONS" PARAGRAPH UNDER ELECTRICAL CONNECTIONS FOR DESCRIPTION OF "MOTOR SENSE" FEA11JRE.
Turn on power to motor when applicable. "Motor Sense"lLower Limit (amber) LED will turn on once again indicating power is present at
motor control secondary.
4. Depress and continue to hold test button on side of release device/control panel. Annunciator (option) will turn on indicating a door
closure is about to occur. Active Motor Sense logic will inhibit the release device from energizing. Release test button.
5. After completing all tests, verify that door is in its normal condition (open or closed) and that all power required for normal operation
is restored to unit and operator if applicable. This equipment is designed to operate with its primary power source applied.
Power Loss Test.
Power Loss test is not required. This unit contains diagnostic logic, which when operating IDlder conditions of extended power loss, will
initiate a door release at such a time when the battery backup drops to a predetermined low battery condition. The unit contains a trouble
SOlDlder (chassis mOlDlted) which will annunciate indicating that the low battery condition exists. If the optional external annunciator is
being used, it will also begin to annlDlciate 10 seconds prior to door closure due to a low battery condition.
REMINDER:
TESTING OF RELEASE DEVICE/CONTROL PANEL SHALL BE PERFORMED AND WITNESSED FOR NORMAL
OPERATION AFTER INSTALLATION.
Testing ofthe SS90-B2 release device/control panel is iDdepeDdeDt of, aDd shall in DO way be iDterpreted as aD alternative method
of, testing of the fire alarm system, motorized operator and/or aDY other system compo Dent employed on the fire door or counter
fire door installation.
TEST WEEKLY TO ASSURE PROPER OPERATION OF RELEASE DEVICE/CONTROL PANEL!
TECHNICAL SUPPORT: (717) 455-0577 Technical support is available 9am to 5pm EST. Individuals requesting technical support must
provide SIN of unit and name of distributor from where the unit was supplied.
3
MAINTENANCE REQUIREMENTS
The "SS90" Models B2 release devices have been designed to require a minimum amount of system maintenance when
installed and used in accordance with factory specifications. The unit has been designed and tested for use in indoor locations.
Solid State Securities recommends weekly testing of the unit, but test intervals shall ultimately be subject to criteria established
by the Final Authority Having Jurisdiction (AHJ).
Serviceable fuses are provided for the following:
See Figure 5 for fuse locations.
Fuses
FIlA @ 250V, 2AG Fast Acting, Input Power
F2 lA @ 250V, 2AG Fast Acting, Logic! Aux. Power
F3 lA @ 250V, 2AG Fast Acting, Battery
F4 lA @ 250V, 2AG Fast Acting, Motor Sense
Replacement fuses shall be of equivalent rating and type may be ordered directly from the factory thru the technical support
number provided below.
Should servicing of fuses be required, personnel authorized to perform such maintenance shall ensure that; a) all traffic
is prohibited thru door opening, b) door is mechanically released and fully closed, c) all power is disconnected from
unit, including motor sense voltage on motorized doors.
After servicing equipment as required, unit shall be tested and witnessed for proper operation as described in the
TEST PROCEDURES, contained herein.
FIGURE 3
TBI
TB2
10000000000000000001
100\
1001
DO OVR'
VR6()
F4g
VR2
o
GVRI
D
F3 F2
bt=t1 bt=t1
F1
bt=t1
TECHNICAL SUPPORT 717-455-0577
5
ADDENDUM
MODEL SS90-B2 TROUBLESHOOTING GUIDE
Yerify that desired options are available on unit before troubleshooting. Refer to pages 2 & 2A for electrical connection
information and the maintenance and service page of this manual for fuse locations. Troubleshooting shall be perfonned by
factory authorized personnel only. Service and/or installation by unauthorized personnel shall void warranty. Review the
following guide prior to requesting technical support. If technical support is required, unit serial number (found on front of
manual and inside unit), as well as distributor who supplied unit must be supplied.
SYMPTOM
1. Red Power LED does not light.
2. Green Battery LED does not light & trouble
sounder stays on.
3. Amber Disable LED does not light
4. Unit goes into alarm as soon as power is applied
5. Annunciator does not shut offwhen door meets
down limit.
6. Unit closes door before optional voice message
is complete.
7. Unit does not respond to manual test button.
POSSffiLE TROUBLE
A) Primary power source turned off.
B) Loose connection on lB5
C) Incorrect polarity on D. C. unit
D) Incorrect power source applied. Verify voltage
and check fuse Fl.
A) Battery leads not connected or leads may have
bad connector.
B) Battery connected with using incorrect polarity.
Red (+) Black (-). Check fuse F3
C) Battery threshold circuit requires adjustment.
Call Tech Support!
D) Battery totally discharged. Replace battery.
A) Motor control voltage not connected to lB3
B) Motor control is D. C.. Check polarity.
C) Control voltage is above 30Y. Check fuse F4.
A) Alarm loop is not connected properly to TB 1.
B) Alarm loop which is not being used must
have jumper or resistor installed. If using N/C
loop (TB 1-2&3) , resistor must remain in
TBI-4&5, etc.
A) Aux. down limit switch not connected properly.
B) If using N/O down limit lB 1-1& 16, jumper
must remain in lB 1-1& 18.
A) Alarm delay must be lengthened to
accommodate message. Call Tech Support!
A) Unit is detecting down limit. Make sure Aux.
down limit is connected properly. IfN/O down
limit is used, N/C loop (lB 1-1& 18) must have
jumper installed.
B) Possible defective switch. Call tech support.
UNIT SERIAL NUMBER DISTRIBUTOR
TECHNICAL SUPPORT (717) 455-0577 9AM - 5PM EST MON-FRI
SERVICE REQUESTED
i
.~-~---~---.~..~:~---~i~~~~~~?N~O~PANY-----~----I
SINCE ~~ 1921 MENDOTA HTS, MN 55120 I
TELEPHONE (612) 683-0307 \
IIc/9L7P .5Y~7c.mS
B !AJGt~# ('0/\J5"1I Vt:-r/(),v L
I 0
L C
L 8;;00 NC/l1'1r1/\/ RrJ(, e ~ .6(I//>. A
T
T I
0 p1 rL ~. .?5tfJ7-IObO 0
/,1/V N
j?'A1: / C' ~ I/? k.. if
MN
?c~ /70>;2
LQCATloN()R ooQANO; It. ~ pc
MIlD
/-
~'
i"..
ADDITIONAL WORK TO COMPLETE JOB:
TOTAL
D INCOMPLETE
SIGNATURE DENOTES MATERIAL RECEIVED IN GOOD C.ONDITION AND SERVICE RENDERED AS RE-
QUESTED. I AGREE TO TERMS ON BACK OF CUSTOMERS COPY, HAVING READ SAME, AND AGREE TO BY:
IT AS PART OF THIS ORDER THE SAME AS IF IT WERE PRINTED ABOVE MY SIGNATURE.
5~T
~OMER'S SIGNATURE - TITLE
.
CUSTOMER'S COPY
-1997 11:19
PRIDE MECHRNICRL, INC.
612 331 3102 P.01
MAXIM
TECHNOlOGIIS INe;
REPORT OF: BACTERIOLOGICAL EXAMINATION OF WATER
TO; Pride Mechanical
A1TN: Norman Goldberg
1600 Broadway Street NE
Minneapolis, MN 55413
DATE: December 22, 1997
PROJECT NO.:
INTRODUCTION
BENCH NO. 6018 & 6019
~- r~"i'ort. presentS ihe"'reSults o(~ur';~'mj~8tion of"-dri~1dng-water sampled by Pride: ._.~~, '.
Mechanical on December 19, 1997. The scope of our selVices was limited to entm;nation
for coliform bacteria.
PROJECf
Park Nicollet Clinic
Prior Lake, Minnesota
METHODOLOGY
Standard Methods for the Examination of Water and Wastewater. 18th Edition, 1992.
RESULTS
See Table I for a summary of the results.
CONCLUSION
The water from this source was found to be bacteriologically SAFE for drinking at the time
of sampling according fO the EP A/FHAN A drinking water regulations for coliform.
" ."-
.... '--.. .--.......- .....-.
.-........-- _._-....:....-":"'""~....-
"":""-. a:---_. _ __.. _
REMARKS
Results are based on the Minnesota Department of Health guidelines. Chapter 4761.0300,
Subpart 3 (September 20, 1993). The sample was consumed in testing.
MAXIM TECHNOLOGIES, INC
Post-it'" Fax Note
To
7671
.2-
~~~
Maureen Carlson
Environmental Scientist
662 Cromwell Avenue. Sl. Paul, MN 55114-1776. 612-645.3601 · Fax: 612--659-7348
Pllone ,
Fill" ~J./7- '2 '.S
"pi
Austin Research Engineers · Chen-Northern. Empire Solis Investigations
Kansas City Testing. Southwestern Laboratories. Twin City TestIng
An Affirmative Action 0 CquaJ Opportunity Employer
1997 11 : 20
PRIDE MECHANICAL. INC.
612 331 3102 P.02
PROBer NO.:
PAGE: 2
TABLE I
MicrobiolocfcaJ Results
Sample Identification Total Colifonn Test Date Method Allowed
Bacteria Number
(in 100 milliliters)
Drinking Fountain None Detected 12/20/97 9223B None
Water Meter None Detected 12120/97 9223B None
" -";- -,
'i:' . ~',~,::~~'~~~'~~~:'l!7.~.i,:~
TOTAL P.02
( 16:50
6124244404
BREDAHL PLUMBING INC
PAGE 01
~BREOAHL
~.PLUMBINC3INC.
7818 7anl Avenue North. Brvokr,n Perk, Minnesota 85428
Telephone (812) 424-2$48
Fax (612) 424...CM
Date:
December 17, 1997
To
Jay (Inspector)
From:
Larry J. Bredahl
With regard to the medical gas we Installed at Park Dental Prior Lake:
1. We ha.ve pr8S$ur..tested the system.
2. We have labeled the medical gas lines
3. We have double..checked for c:ross...connections
4. Everything has been done according to code.
Please see the atlachecl medical gas certification card for the installing technician.
16:50
6124244404
BREDAHL PLUMBING INC
AMERICAN MEDI~ CUD 110. 2J~
1l/"MeJoh.. ~~~ GAS INSTITUTE
5.S-NO. 47' 16 IJ91
"eDIC~L GAS
. A.8.M.E. IIr 8AAZEA C~RTlFI~D
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PAGE 02
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FROM WENZEL MECHANICAL 512-452-0367 ('rUEl 11.25' 97 16: I7IST. 16: 16INO. 3551851190 P 2
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DEVJC2MAKEANDMQJEL~~~~~ tn3~
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DEVICE dllVES WHAT SYST!.M &11,&1<... . r; LL.
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CERTIf'lCATlO)I;
I.HPJ.U!BY Cl!R1'1PY TIm fOR200ING DAt'A to BE. COIlRECT AND THAT THE 'reSTED J)JNlCE IS F'UNCTlONft'iG
wmafll nm UMtTS or nE STANDARDS.
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Li..;. ""Ift9 __ ~_ _ _ fU.... Ii.. __ __.,...v".,.
"qn _",,,, ......., LDC"'.." I...~. ')( D....~1.
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PI'.' ...... _ .
"1.. t.W4ttl _. .__ S_ke I_II _.._... ,"'_" ., Wit-i...
Pil.~ "fl....... . . _ Draft ___ ..... __ _ _ _-. '.Sot T.,
L". C.,. Off - '.:J.i1D.___ Do.r Prn.II'. L.ifh"n. I"..,.
P.......".~ Zt.15 ....<:_, CO2 :Z~ D... T..Ntf '".~ .jl_.~'''' - ~~~
IJtPVf CF" _ _=_ _ ........'" Oz ~ .. Co"'peI", f..f."'!.::. .--- - --
S...... 't...". 'I In ".."""". co ..::L..l!IAtI.- Me",,, of T.t.". .
F..... 235
~--
---
LOO/~d 9817 . ON
11.119cc Eo 1114 .L33HS ~
VL:80 l.6/9C/H
612 452 0367
FROM WENZEL MECHANICAL 612-452-0367 (TUE) I\. 25' 97 16: 17/81 16: 15INO. 3561851190 P
WEN:ZEV- 4".!!!F;;t..... r !!f~~ P'f.rJrft$ING (" r'ir:ATflVG
MIlOr-r A~r~p.,r - FAX 4l:tZ-03c:t7 9EWeflt _nd Vf"A'T"1M
1959 Shawnee RQad It eogl". Mrnneeota 65122-10&5 COMMlEFIcr~. "ISflM","4f.
2.2...C- - /'{ ,
To:
lFax Cooument Transm~ ,
/' / c9.s -: ;?7
I/: .~
'- T~ , ~"J~ I :-rt-..s
._~ ~-- /
\. ' .:.:::->
~
7(;$-I4!.?r;f,' -;t;' ~ 4;;..,4/1
- 0...&",1- ~t-~
~ f C UMv~ c..o.... c tL-~ ,
0..:
From;
Tatat Pages:
C.ommeMS:
Think You:
~00/te0d 98P.ON
t~tt9cc. ~ ilW 133HS i~d3N38 v~:80 ~6/9c/tl
WI\ tMENZEL 4fS2-1b&S PLUMBING-HEATING
MECHANICAL FAX 452-0367 SEWER and WATER
1959 Shawnee Road . Eagan, Minnesota 55122-1096 COMMERCIAL- RESIDeNTIAL
RPZ TEST/REBUILD REPORT
SITE ADDRES~ / fa 705 . Ft~LJJ /J.~ ~ CITY pt,Or<, W(ejZIP
OWNERftiK 1/) Ldll.!..tit PHONE DATE 11- J17 -91
DEVICE MAKE AND MODEL LA) tlJ.1li/5 C(l:{4JZE~S\N In 3 jX>~
DEVICE LOCATION 5:1 I ~ f2. . t
&lLPR. f/ LL
..
DEVICE SERVES WHAT SYSTEM
CHECK CHECK PRESS.DIFF PRESS DIFF PRESS.DIFF STRAINER
VALVE 1 YALVE 2 ACROSS 1 ACROSS 2 RELIEF OPENS
TEST
BEFORE LEAKED ( ) LEAKED( ) NONW
REPAIRS CLOSED( ) CLOSED( ) _PSI _PSI _PSI CLND( )
FINAL 7l{PSI ~PSI !/-PSI
TEST CLOSED~ CLOSEDP( TEST YEAR
REBUILD? ~
0\ . ~ .(::,(.
DESCRIBE REPAIR
CERTIFICATION:
I HEREBY CERTIFY THE FOREGOING DATA TO BE CORRECT AND TIlA T THE TESTED DEVICE IS FUNCTIONING
WITHIN THE LIMITS OF THE STANDARDS.
FIRM N~;jVENZEL MECHANICAL ADDRESS: 1959 SHAWNEE ROAD EAGAN MN 55122
BY: !:WAIf) fl,YoIiR-[ CERT.# 3/01
PHONE: 612/452-1565
Punch List
Park Nicollet Building
Project # 97-36
November 24, 1997
The following items are required by the Engineering department for final approval:
1. Provide a mylar "As-built" survey of the entire site which includes, but is not limited
to, actual elevations of all new utilities, ties to all valves, length of all pipes, size and
type of all utilities, actual pond elevations, etc.
2. Establish turf on entire site per the approved plans.
3. Grade pond on west side of property to match sheet C4.1. Provide actual survey of
pond and call the Engineering department prior to placing topsoil and turf
establishment.
4. Remove all debris from the entire site and adjacent properties that are a result of this
site development.
5. Restore all disturbed area adjacent to this property to their original condition.
6. Bring all manholes, valves and clean outs flush with finished surface.
7. Install bituminous wear course on all required areas.
8. Ramp manholes at south end of "finger" road to prevent-skrwplow damage.
snow
9. Provide all required easements for utilities and roadways.
10. Provide an additional coat of paint to all hydrants. Install 5' Hydra-finder flag on all
hydrants.
4h 7/~
(Z;;' i Evens
Engineering Technician IV
CITY OF PRIOR LAKE
16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 /Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
TO:
FROM:
DATE:
Jay Scherer, Building Inspector
Jane Kansier, Planning Coordinato(~
November 21, 1997 - U
RE:
CC:
Park-Nicollet Final Inspection
File
Following the inspection of the Park-Nicollet site on Friday, November 21, 1997, there
are still items which have not been completed according to the approved plans. These
include the following:
1. The site must be sodded and seeded according to the approved landscaping plan dated
May 22, 1997.
2. The area surrounding the sign along Highway 13 must be landscaped according to the
approved landscaping plan dated May 22, 1997.
3. An irrigation system must be installed for the area shown on the approved
landscaping plan dated May 22, 1997.
We received a letter of credit for the landscaping on this site. This letter of credit will not
be released until one year after the City has inspected and accepted the landscaping on the
site.
Thank you for the opportunity to comment. Please let me know if you have any
questions.
I: \97fi1es\97 sitepl\parknic\inspect.doc
2'U, - 117 J
Cb aellelal
Ih..a m.'.1
(o'po,etloft
2330 LOUISIANA Ave. NOfmf
MlNHEAJlOIJ8, MINNESOTA 1M27
PHONE U4-1747
· Hli\11NCI · NR eoNaf\'lQNfIQ
. ~ .I!M!MY Ift!CQ\I!!lIt'l'
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Fax # (612) 544-6580
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ASSEMIlv. USING MOlE PIIlMDm. SECURE fUSl8LE UNlC
MSDIILY NOUNf 10 SLD'JI: OIl DUCT.
t. M" IloIIU. 0I'IlH1NG SIZE SIWJ. It ... WlWUII OF
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NlfltUED BETwEEN 1M: DAMPER NfO SlSd'E IN tHE flIME
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IIIWIE MQUlMS CMIUCING.
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DRNE tuP ~ OOUBLt *-ILIf'. ~ IR~
CONIltB:1lON 0PnaNl!I lIE. SI10WN ON THE fIlt'V!Mt SlOt.
DUCTS MUST 'f!NIIINl'l!: AT 'fH[ SLEI\II.
,~. F'Olt IllClO ~ tHE !Slaw: lHLl ft to CA.
MAXII.IUW. 1Ht SI.EEVE StWJ.. Bt 11 c-. NlNIM.N ON
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7. POIIMI'tCft MOUtotflNO NlQD ~ MlIIfAIi IN .K
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TLTT9cc ~ iLW 133HS i~~3N38
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THE FOLLOWING OPERATORS AFtE APPROVED BY UL FOR use WITH
CESCO'S MODELS FSD1 AND FSD21N DYNAMIC FIRE DAMPER SYSTEMS'
OPERATOR
MODEL
UI.14
MA230
MA318
MA418
331-4829
331-2961
TYPE
12DV
120V
24V
MAX.
TEMP.
250<' F
250" F
2500 F
".,.
MAX. DAMPeR
(SQ. FT.)
2.5
4
'8
8
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MAX. FLOW
(FPM AT 41N. WG)
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250D
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1100
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1800
2500
2000 .:i:'" ,',;',. ~.;.::~';,' ,
2000 ".~',:~ .. ." .
1800 .,-
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20 PSI" '2500 F
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20 PSI 250- F
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UL REQUIREMENTS FOR FIELD INSTALLED OPERATOR~ "
4",
1(S~.rs Laboratot1es requires that UL classified dampers be installed with factory supplied UL Ilstad operator&
,Ich bear th. damper manufacturer's label. Field installation Of dampers and operators must be done in accordance
th NFPA 90A and the Instruction~ provided by the damper manufacturer.
ADDtTIONAL IIJIlEAKAWAY CONNI!CTION OP1'lOJtS
SCHEMATIC POR OPI!RATORa OPERATING SlMUL TANEOUSL Y
langed duct connection sYstems supplied by
tuotmate, Werd, HeJCus, TDQ (Lockforme.." e~ TDF ,
:ngel) .ma, be useCS. Cleat ~acing for these systems' ,.
he" be as shown in the table below _ Minimum of one
I.at p~r ~e. et~~ mu.~,.~ evenlY'spaced.
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"
DUCT BIZ!
(INCHES)
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Under 204Il::M
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AIR 8JJPPL Y
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25 PSI MAX
+
POWER
SUPPLY
novo
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3 er side
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....klway connlCtlDns.
MAX. QTY OF NO. 10
SHEET MeTAL. REWS
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5
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FSD6~
JUNE 1995
t~ttgec ~ ILW 133HS ~~3N38
cV : 60 L.6/0c/tt
BRAUNS
INTERTEC
Braun Intertec Corporation
6875 Washington Avenue South
P,O, Box 39108
Minneapolis, Minnesota 55439-0108
612-941-5600 Fax: 942-4844
Engineers and Scientists Serving
the Built and Natural Environment~
November 19, 1997
Project BODX-97-109C
Mr. Gregory Voss
Welsh Companies
8200 Normandale Boulevard, Suite 200
Bloomington, MN 55437-1060
Dear Mr. Voss:
Re: Structural Steel Nondestructive Examination Services, Park Nicollet Clinic, Prior Lake,
Minnesota
Nondestructive examination services were performed on this project as authorized. These
services were conducted from July 16 through September 10, 1997, on an on-call basis.
The observations were performed by Len Vos, a level II technician qualified as an International
Conference of Building Officials (lCBO) special inspector in structural steel and welding and in
spray applied fireproofing.
Scope of Services
During this time period, the following observations were performed.
· Visual examinations of field welds
· Bolting observations ,
· Deck weld observations
· Ultrasonic examinations
· Fireproofing examinations
Results
A summary of the results for our services is described below. Copies of our Daily Observation
Reports were left at the project after completion of each site visit. All observations performed
were found acceptable as indicated below. For specific information, please refer to the attached
Daily Observation Reports.
Visual Weld Examinations. Visual weld examinations were conducted in accordance with
American Welding Society (AWS) D1.1-1996, Sections 3.6 and table 6.1 requirements. These
observations were performed at the following locations.
Location Level Description Remarks
A-G, 1-7 Roof Bar joist fillet welds Acceptable
Welsh Companies
Project BODX-97-109C
November 19, 1997
Page 2
Location Level Description Remarks
Line C at 2 and 7; Roof Beam to concrete block wall Acceptable
F, 1 bearing plate fillet welds
C-E, 3-6 Roof Tube steel column base plate to Acceptable
beam flange fillet welds, clear
story and screen wall framing, 11
and 17/380
C-E, 3-6 Roof Clear story/screen wall framing Acceptable
tube steel weld connections per 1,
2, 3 and 4/E-2
Line 0 and E, 3-6 Roof Bent plate to tube steel beam fillet Acceptable
weld, 11/380
Lines 0 and E, 3-6 Roof Deck support angle from beam to Acceptable
tube steel column fillet weld,
10/380
Lines C, E and F, 3-6 Roof Bar joist to beam kicker fillet Acceptable
welds per 2 and 14/380
Bolting Observations. Bolting observations were conducted to determine if the splined end of
the tension control bolts had separated from the body of the bolt. Listed below are the
locations in which bolting observations were performed.
Location Level Description Remarks
A-G.5, 1-7 Roof Tension control A-325 3/4-inch Acceptable
diameter bolted connections
Perimeter A -G, 1-7 Roof Deck support angle to block wall Acceptable
epoxy bolted connections
Deck Weld Observations. Deck weld observations were conducted in accordance with A WS
01.3-1989, Section 4.5 requirements. Listed below are the results of these observations.
Location Level Description Remarks
A-G.5, 1-7 Roof Roof deck welds and side lap Acceptable
fasteners
Welsh Companies
Project BODX-97-109C
November 19, 1997
Page 3
Ultrasonic Examinations. Ultrasonic examination was performed in accordance with A WS
Dl.l-1996 section 6 and table 6.2 requirements.
Location Level Description Remarks
G.5, 3-4 Canopy Full penetration welded beam to Acceptable
roof column flange
Fireproofing Examination. The purpose of the observation and testing was to measure the
thickness and density of the spray-applied fireproofing material for conformance with the
requirements of the project plans and specifications and the Uniform Building Code (UBe).
These services were performed by an International Conference of Building Officials (leBO)
certified special inspector for spray-applied fireproofing.
Services Performed. The observations and testing were performed according to UBC Standard
7-6 guidelines. The fireproofing material was blaze shield manufactured and supplied by
Cafco. Fireproofing thickness requirements were supplied by Minuti Ogle, fireproofing
contractor.
Results. Areas of examination include roof level framing, beams and bar joist. Thickness
measurements were found acceptable per the supplied requirements. Density sample taken was
found to exceed the minimum project requirements of 15 pounds per cubic foot (pct) with a
density of 19 pcf.
Field Modifications
During this time period, field modifications were observed on the project. These field
modifications were deviations from the construction drawing details. The field modifications
are listed below.
Date of
Observation Submitted To Descri ption Status
07/10/97 Mr. Scott Stephen, Beam extension full penetration weld, Closed
Welsh Construction splice line G, 3-4 08/05/97
09/02/97 Mr. Scott Stephen, Clear story/screen wall framing light gage Closed
Welsh Construction truss to beam screw connections per 10/16/97
Excel Engineering, fix detail B dated
10/16/97 in lieu of welding
Welsh Companies
Project BODX-97-109C
November 19, 1997
Page 4
If in the Status column it is listed closed, this indicates the item has been resolved.
It is our opinion that at the time of our last observation there were no outstanding discrepancies
remaining on this project at the areas listed.
General
Services performed by the Braun Intertec technician for this project have been conducted in a
manner consistent with that level of care and skill ordinarily exercised by members of the
profession currently practicing in this area under similar budget and time restraints. No
warranty, expressed or implied, is made.
This test report contains only findings and results arrived at after employing the specific test
procedures and standards listed herein. It is not intended to constitute a recommendation,
endorsement, or certification of the product or material tests.
It has been a pleasure to be of service to you on this project. If you have questions regarding
this report, or if we can be of further assistance, please call Len Vos at (612) 942-4968 or
Marv Denne at (612) 942-4823.
Sincerely,
~~
Attachments:
Daily Observation Sheets
c: Mr. Scott Steffen
Welsh Companies (Field Office)
Mr. Mark Cackoski
Dunham Associates
Mr, Paul Baumgartner
City of Prior Lake
Mr. Jim Samuelson
Braun Intertec (Apple Valley)
Iv\mcd :rjs\bodx\rpt\971 0ge
AU HSM
,~TERTEC
Special Inspector Daily Report
City of f:-.,.o r L ~ fez
Page -L of ;)-
Report Number:
Project Name:
Project Address:
Client:
Weather:
S+r-~c..-h".J"'a..,( S-I-ee...-( * (
Ibrk t1/.'C.:JlrH C(:"<.,'L
I b 7n '5" ',cravoll,., Tr.
tJel.14 (!,....s+~fr'o.., Co ,
Jw.u.-j
Date of This Report: 7 - / b - '7 7
Project No.: pI:) j))(- '7 7 -/69 C
Client Project No.:
Temperature:
7 S- OF
Type of Inspection:
o Continuous
~ Periodic
Inspection Coverage:
o Masonry
.. Welding
fI Boltin
o Foundations
o Fireproofing
Tendon Placement 0 Other
lans? Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed:
~ 0./ t::.-I'fot-t "1
-sL" / /'
?3!.. C7.'C.~ ~ I*cd ('o-.et;.,s:D-..r
CD -r~S;D.., CQ...+,...O r A- 3;}S'
A-C_:,' 1- 7 -~c~~t~
~ bP..- -r'b 6Rar<'j p4.;<. .///~ V<A?0 a -I' c..~,.ek p;;".<: tJa.//s
I
~~?O f.-....c- C ('CD ~ ~ 1.,. r-rid F, (/ T' -. [,- Co ! Ll, aca.e~4t.~
tV"ar 'tolsf- ./J/M ~a A-c:-., (- 7 -0 cc~~~1rz...
,/
(!f) 'Ti.~ .J',kef Co (~ot1~ 64U? dt:J-f<' -1b ;6<!~tA.o .//a't9L ~/~,c lde4
I ,/
~+ fc~~~ iJa Ii /Cfea..r $"fo.r7 ~.~ . de.k~( (f; nhK() C - E, 3 -<;
;- ac~/'~.
..J:::iu t1!6U: 1't'".f ....~ /lA-f/ .pa,..,,~ frdv-HO,"" vJi!.. tied C4'~ ,(..,Ie.../(..r 6LaH'\ Co ~....ec...l:b..."r
~. 5"" ]. - '{ (('~'f't)
CV\.. ~ be.t:4...... .fa (0((,.&"",, '"" CO"""-'!LJ....."... a of- trev-.t;r2..') d"";r dr.t~/r -g ~ r/3 0/-
/
~(+r-A-~01.'r.. ' .~, 6, J... 4..J.'c. rfr...c~
. Are there any discrepancies noted from this day's observations? Yes il No 0 ,'-It2-. l:f... 7
. Are there any outstanding discrepancies on this project? Yes 0 No 0
. If yes, see attached Summary Sheet.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workm~visions of lbe UBC, except as noted above.
Signed: ~~a.- Date: 7-/6"-'7'/
Print Full Name: Le,..,. ?1j. 1.0. Number: /If 96;::-
(White copy to Braun Intertec file. Blue copy to General Contractor.)
frm\llp~.:insp.4 1/25/95
.~AU NSM
.NTE RTEC
Continuation of
Special Inspector Daily Report
Page ;L of ~
City of 11-: l) r Le:.fCJL
Report Number:
~ -!-r"'c.fKr4C-( C" ~eel-f;r;... I
Date of This Report: 7-16 - 9 :;
Project No.: Foj))c-97 - lo9C
Project Name: ~r fc. tf/.'~ol(e.f c.!.'o-..'L
(Note: This is a continuation of a report. The first page of this report has information which should not be
separated from this continuation.)
(f;) C(([e:;.r ~ry /se-rte", ,.Ja (( ~-r-.."q
/' /
9r4T3~ 1 ./;/(ef uJerch p:v- de..~"/f I, d, 3" C(/ E.;;J-
h,,~ c., :3 - S- aI'lL pt"'b5'40...-I-~ G:J_pftu..e. ; ~ - a.C(.~~b~
-r(,t~ S-..fe€r
t k6' x{...
re~a."",:", ~~ a.r-~ c'.., fracess 0+ (~e(d:.,.
CJ) 6R4~ -tb kn'V1s' o~,fe (Cj) ?v& C. J - V '€ok:! S- /3~
~ { ,
Or's.e.... .f {'7 cL V1 of' '~ve... r....{'-h~ I O€ar. .".,q pJJ.r- -HsL de,:f?::...' /.
I / /f
IlJr JA1Atfc Co...ck orlc..~ / fJv<"I /.1...."" ;- ,.4rio C ('D.....Ju/-k""
./
fli)-h\ fe"f of. +t.P... Covtd:--!.b -, He ('.e S '1I",cle-.J ~a..+ 1.4 fl...
-
)~{~ v.'.s:+ +r:. (56Sl2.rv~ ~ ("O^",~G.-H.... 5' .
~"'~f, t.....J4S'
t-J:/ f llAa k. e q
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workman~vi5ions of ,he UBe. except as noted .hove.
Signed: ~ Date: 7,..(6-'77
/0 50?'
Print Full Name:
(e- ~J
LD. Number:
(White copy to Braun Intertecfile. Blue copy to General Contract01:)
frm\specin~p.422 4/24196
)
.AUN'M
.~TERTEC
Special Inspector Daily Report
City of f:.'or Lcd::o
-
Page
I of
(
Report Number:
Project Name:
Project Address:
Client:
Weather:
S-f-roA.C- fhl'4 ( .r~eeI -:tt=.;t
11:tr Ie. N"~o/t!-rr C'hh,'C
.
Ih7o'O rra"k/,,'J 7F.
tJ~/S'j, Co"'f-ff,.,r~'D'"
()tJu-- ('a.~ +
Date of This Report: 7 - ;:; s- - 9 7
Project No.: 9..0 DK- 97- /09c
Client Project No.:
Temperature: 7 () C F
Type of Inspection:
o Continuous
18 Periodic
Inspection Coverage:
o Masonry
.. Welding
o Boltin
o Foundations
o Fireproofing
Tendon Placement 0 Other
lans? Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed: Roo.t' rk-a",.:/ 4 - C I l, 1- 7
(1) rOll +: d.1l<;.. Cc. &Jet ds c::t..,..{ ~\ck lor .f'as+e...-,er~ - a ('c.~~{. '- w.'.f-t..
(
*RK(!~h'O"" .+:- dtlc.i l?".,dfi (;;~ I~~) i-J1.....c/ relt-u'1"'A- t,J~/h a I- 4!e:Ch
dee,!: ./"ICA./~ ~r < .J-.r,-,,-r.-h-t..r,{ f"-kze( dLl';k 9~4..r-. (,-z,,-fi2- J 0..... r tee-I- 10;r. ..
, /
N.~":",, "~j ~.. ....^t1r...I.''Q~r w~ a.("c~.{..e:.~ It.. t..->€,( d' ~ f.'j/'
<CD clear s.j".,.j L' C NIY. w..t'L ~ ,;, c .(3).,t-~,::., ~ e ( WP /.1 ~...~ "<-:I,,,, ,
./
c- €, '~-, -~cc~~~
6 b.IA-f n/4ff.. ~ -h..'~ r+e.d ~ I,'~ j) ( ~. ']-' ~de..4.;/ IV"J.j"o -acc.~"-
f' .
CO d'rf S',:/-r"-+ o.^7ft... /Ja__ ~ -fo -Ir...~Q.. ~~ C.:.(v...-,~ f)lk.Fl..vI'..a ~ l'oA po aT-
List tests performed: /fWL.. ]) f C; :f - b - G? Cc:~~ ~ I
(1) bl'::r J"':<' t- ~ ~&.h.. k.'c~ k I/€.-rf- l.-er~ r :dr de~~_ '/ d~1d'l7 0(1
, 1-(0 '-f
I:'AL-S C f.' ,::' I c:k-.k ,( 'If,/3~ 1::1 /,,~ ~ T '3 -". I.'~ ~ (10.J- Co,...fJ~'1. Ja.J-e..
. Are there any discrepancies noted from this day's observations? Yes ~ No 0 ,..{.L..... I -c' J
. Are there any outstanding discrepancies on this project? Yes 0 No 0 I
. If yes, see attached Summary Sheet.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
Signed: -? ~..tL- Date: /-)j-7'?
Print Full Name: !-P- ~J l.O. Number: -;:7076' r
(White copy to Braun [menec file. Blue copy to General Contractor.)
frm\sp.:.:inllp.4 1/25/95
.AU N'w
I~TERTEC
Special Inspector Daily Report
City of f1..;o r- ~ ~~
Page
of
Report Number:
Project Name:
Project Address:
Client:
Weather:
)'+l'kC+uta.,( S'J.,,. ( :Jr.3
fAl" k:. ,,/le.. It.. +r c I,'", I c....
I ~ 70 '5 h--o.", k.(:" 7Y'.
t-Je/rl, ("o...r+r~~6...
Date of This Report: ? ' 3 0 - q 7
Project No.: B()j)x-q?, (1JQc
5;-01.. 10 '1
Client Project No.:
Temperature:
70 f:"
Type of Inspection:
o Continuous
. Periodic
Inspection Coverage:
o Masonry
.. Welding
o Boltin
o Foundations
o Fireproofing
Tendon Placement 0 Other
Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed:
I(OTJ {' .{;.a~.r^j
(j) rl,r-k ~/05
CD~c~ ,{"&A~tAr.f ~..,4. +0
~..f- ~l....:f r:J.~ ~l4.r:~ o.r
I
., oj V3~ - 4r'~,?,4t(
A- G-. 1-7
,
"'Ow r l'1_/~ te~ i" ;:t,....d at'c~~t' ~
c D'o1.cl'~i~ h ~c:.,/c. e f 0'5"7 &., //e..-/ co,..,.... #' c:., -(to"" S-
A 'C-.- (,-,
ntJ:l,..-.
I
*_ -Ie.'1
~ b~,'/./.,/
List tests performed:
.
Are there any discrepancies noted from this day's observations? Yes 0
Are there any outstanding discrepancies on this project? Yes S-
If yes, see attached Summary Sheet.
No a
No 0
.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
~~
~~~
-
Print Full Name:
1.0. Number:
?-Jo-Q7
7e>P6r
Signed:
Date:
(White copy to Braun Intertec file. Blue copy to General Contractor.)
frm\sp.:.:insp.4 1/25/95
AUN'W
. ~TE RTEC
Special Inspector Daily Report
City of fj..'.IJr'" La?;
Page
( of
,L
Report Number:
Project Name:
Project Address:
Client:
Weather:
S -4"., ~ +ur A- ( S" ro}., '-- ( W= t(
Pbt'1r N}t':~tlt-"- ~1.'k.'C.
16 ?d ~ Frea.-Ic./.'I.. 7h::. ,c /
!.,Je Ir/' <::0.. r-l-
S'u-.11 t
Date of This Report: j>- s- - 5' 7
Project No.: 80 D k' - 97- /0 q c
Client Project No.:
Temperature:
7CJcr-
Type of Inspection:
o Continuous
tJ Periodic
Inspection Coverage:
D Masonry
. Welding
D Boltin
D Foundations
o Fireproofing
Tendon Placement 0 Other
lans? Yes 0 (Listed Below) No D
Rebar Placement
Concrete Placement
Description and location of work completed: Roo..,t .{;.~
CD ~a:r ',l..f./. ~ 6,&4. ,K"C~~ j'} If€.~ t.-tA/ h pe".- rld~-h::.t /
J' ,
c:?-A/C:> @ f.i-tL F_ '] - ~ - a C~~ UtL.
@ 6~t:2"'" ~>c~"t>yt. ('-' I' )<.:J c) 0-1- {'a~t, k-."--:J1 /'t.-e... ': 3- Cf
Y1:D M "/04 ry " ~ -4- ( ,'~fU- 7 .
-r1L I>>~ nA A e:J ~ ..t"r.te-.d' e.d' a//.j'nx:~~ t;. t>" a"~ ~,..I-~ e-. cd
. ' "
a-.L t:y'~/bJC,Mc/~ (/ ,/.,t:4'- a-A ~ ~....~.r4 ~,.,d., ~a'& ~ e.... ~ /lbt-l
f
~.J ~k.. 1'''9'u.-~ ?"(~~r (:j/, 6fl~r'7 &JJ2.,- bkr'( S-/Jro ,
V /'
-rk- ro"",-I'~ ClJ^~~ i.~ &e~ .4// ,e...t:J.-~ ,{'o.... {.J ~;;.I~/ ~~ /~.....r~r
, ./
b.ilit tl!t1ull3l!rftHIHi4.: q." J lAJ6'6... -r~ )4,,...f~ 4d keu ~jof "&off .o~Md N..-' 1...;,.....
{
(A1e/~/j' ~ ~ ,.?4 /'k:/".t!.r i u.J~t e:l~d'" ~d,..(r/:9"1 .a Cd,)c.,r ?(a.-k
1.(;CI2..K'Yfl, /'~f. ~//Pd dk 6.-1-(' (..,.tr ~1'.f4.. ~ t-.H'~
. Are there any discrepancies noted from this day's observations? Yes D No ~
. Are there any outstanding discrepancies on this project? Yes 0 No [;to
· If yes, see attached Summary Sheet.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
Signed: L ~~ Date: ~~ "'9 .?
Print Full Name: L.4t ds 1.0. Number: 7 <l?" r--
(White copy to Braun Intertec file. Blue copy to General Contractor.)
frm\sp.:cinap.4 1/25/95
~AU NSM
I NTE RTEC
Continuation of
Special Inspector Daily Report
Page d- of ~
City of {?-,'o.r [0. fa..
Report Number:
s-tl'v<-~_r s--ke,( ~ l.(
Date of This Report: f?~ S- - 9 ?
Project No.: f3 () lJ X- q 7 -I tJq C
Project Name:
Parfc. No"l..D (f/1;.f- c..(.'''' .'e..
(Note: This is a cotltinuation of a report. The first page of this report has information which should not be
separated from this continuation.)
C.JJCor1+-."II\t;Ce .' /114f~~ fJ~Ia"e;e .eKa~.~~,(!o", 0{ ~ ~.e/d ('"oh~Rc,{-",..s
~ ~<-""- j CVrJ!.,o.f....J.. ~. 'lIS rpCt!!,,_(a'~ l____d-:ct:C -h-o..... -.)a.f ~.Je.d.
,
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
1.0. Number:
c?- $""- 9 "7
?O'7G /"
Signed: /::;;;:? ~
,
Print Full Name: L-1tv1 ds
Date:
(White copy to Braun lntertec file. Blue copy to General Contractor.)
fnn\specinsp.422 4/24/96
~AU N'M
.~TERTEC
Special Inspector Daily Report
City of R.'nr' {ak:..e
Page -L of
(
Report Number:
Project Name:
Project Address:
Client:
Weather:
5' -k1.tf~rC1lJ s- J.eejJ -:if-- 5'
fd,,..1:. I/( rlJ !Ie +- ("tn, '{..
t, 7~- Frc._k.I.'.t 7;-eJ,.'/
IN"!"" ~'O^j+
.r~ ~ -7
Date of This Report: 7' - ,;) -9 7
Project No.: B6 j))c- 9 7 - ,0 q r:
Client Project No.:
Temperature:
::t::: 7 0 .. F
Inspection Coverage:
o Masonry Rebar Placement 0 Foundations
fIj Welding Concrete Placement 0 Fireproofing
o Boltin Tendon Placement 0 Other
Did the architect or en ineer authorize chan es to cit a roved lans? Yes 0 (Listed Below) No 0
Description and location of work comPleted~ ('4ezr~r., q....,..l )C~(ll-l Wd.{( ~-'"'J
/
(~( +- 'j"J'<' S'/'4- ! -f.....JJ /! /i,~ lA ~ t:I t :$ .rcr4U C o~ "'''~ ,,;. ~ r
D _ lc ~t! L E,,~ .~t!-""? lH./.dr ,( d r Co (7/'" 9 7 <(. <fc,> )
I
~ 7;l.oLS.5" /}.~""t'~J ..fpi Jcnw C:o..,~C,--t 0....1' AuJ C1CCr-k..5 k.
b) -tn.. s s -f.o +~{.~ s--!f?e I 6p~~ /! I~ ~ Wl' a wtWe.. Uk,.fee! '1b 6.i/!
/
e ~~ ..{~"ftL k d~ ~~ -r~
S'kf d'^ +IJL ~:J We; C(,:,P.,Il2e::f ot.('. tt..- (.o("a...f.."of'\..fI/cO...d:-I:~.'\)
,,/ (o-'L ~ ~~ v..l-k. c.-J L. <.I<. ,;:t::. ~ of- ,VJ4~ kr-.
I
('00-1 ~e-.c:far 1_).' (( ire!d' .to C' 4. 'd .f 4. t-..I ~ / /s ~ 0 b ftl!! h/-€ h. r.f (.e r
I'
List tests performed: /OCt:i .f:.-u "^ r 1b 5e /~ Id ".e L7e:::'.re.. d...
r
Type of Inspection:
o Continuous
E- Periodic
. Are there any discrepancies noted from this day's observations? Yes~ No 0
. Are there any outstanding discrepancies on this project? Yes f2l. No 0 le'"~4d r., -Icc:kl.-
. If yes, see attached Summary Sheet. r(ll'ot-.f- 7-\
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmansh~visions of the UBC, except as noted above.
Signed: ~ ~ Date: q-eJ--'7?
Print Full Name: L.ftI... dJ J.D. Number: /:2> 76" Y
(While copy to Braun Intenec file. Blue copy to General Contractor.)
fnn\sp.:.:insp.4 1 ns/95
AU NU'
. ~ ERTEC
I
of
Special Inspector Daily Report
City of f?, Ot' La.(<~
Page
Report Number:
Project Name:
Project Address:
Client:
Weather:
F rt.. 01"00 f, "'j 4;. (
I
Pari:. ,v;'t'O (PI!- C(.'I1,'c,
I {, 70'5" fT-CJ.I1 k:,tJl1 7?.:.' I
W~j" t~.r+,.,,,.c;I.'o...
-r:: d .:lO~
Date of This Report: '1-/0- 9 7
Project No.: {j'/)j)K-97-loQC
Client Project No.:
Temperature: ~ 70 ~~
Type of Inspection:
o Continuous
'@ Periodic
Inspection Coverage:
o Masonry
o Welding
o Boltin
Rebar Placement 0 Foundations
Concrete Placement a Fireproofing
Tendon Placement 0 Other
lans? Yes 0 (Listed Below) No 0
Description and location of work completed: ('DO r ~-"rl q E - ~ ~ - ~
/'
(J) "-~..C k~r J' J;t..u?~rl.o..r-#!..~J" ~a~ /J..... ~ S"~r7 e:l1Plfl!d
I /
fir, /,/"DfC) +"'7 ~a.,rt:' IJ~ 2~ rA ..tt:I'~ i", 0. ('c. o~ d ~~c~ ...I"~ -I-t....c..f~ ~s r
lJ,..u r",-", __ "-'v-fs or"'r1 nttr1 ~ f}t ;" .....-h" OJ ~ l / ~ ~ ro ~ ,('''''Y Co~..... f-('"qc ,cu- .
{' I,
b ~ \~,' ~ "- {;.- r. ;} - ~ ("~<g (l~t.Y'e. _ I~
oJ '
J... I IE' ~/ I.t
V~ .'1'1.II- _..... ~ - s- r 4. 0 "'..~ ~
Tk a.~ I,'!.~ o,..~ ~t"~ h"":".J c;.( c.~~'~'
~ ~,..e..pr".{:/ rl (H..I.'4-., ,f a_tI1k. -fa~ a,-f- 9;" d .Dlu'.... tI-
l5!L / I ,
~ n ~ .f.-t,A.. ~~, 0 /fA#j r7 6h.":l'" ,oJ ,ot:~,'''<'
/ /
o +- ( ~ c c... .f-..' "";) " I- Dc....f- c (. u-JOI" Ie... I
.
is' pcP
.
EJ LI, S- ~s t-
o
,4,... ~.4L !:c<:;. n'o ".
List tests f'erfgrmed:
~r-
t!a t..cz
/11,.", ,',....u.....
rli! ^-J.'7
rtg'A;~
.
Are there any discrepancies noted from this day's observations? y~ 0
Are there any outstanding discrepancies on this project? Yes 1:a.
If yes, see attached Summary Sheet.
No M
No 0
.
.
. '
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications'ami
applicable workmanship provisions of the UBC, except as noted above.
Signed: ~ /~,. . Date:
~d'r
Print Fu\1 Name:
LD. Number:
1-(0- q7
71 ,)/
(White cop)' to Braun Intertec file. Blue copy to General Contractor.)
t'rm\lIflllcinlp.4 1/1.~I9S
BRAUNSM
INTERTEC
'Gun Intenee Corporation
",950 West 146th Street, Suite 131
Apple Volley, Minnesota 55124-8520
612..431..4493 Fox: 431-3084
Engineers and Scientists Serving
the Built and Natural Env;ranmen~
Report of Field Compaction Tests
Date:
October 30, 1997
Project: BODX-97-109C
Report: 9
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M. r N 55 3 060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Lak
l mnea)o IS, M 4 7-1 PrIor e, Mmnesota
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
30 10/23/97 N P-6: Class 5 7 131 5 134 103 100 A
31 10/23/97 N P-6: Class 5 7 131 6 135 104 100 A
32 10/23/97 N P-6: Class 5 7 131 5 131 100 100 A
Key: N
SC =
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
*
!I Test I Test Location I Elevation ,
I
I 30 North Finszer Road. Station 0+ 75 (aggregate base) sub grade
i 31 North Finger Road. Station 1 +50 (aszgregate base) sub grade
i 32 North Finger Road, Station 2 + 50 (aggregate base) sub grade
I
I
!
I
I
I
I
i
,
i
I
Elevation Reference:
97109c\clS.9
ames M. Samuel n
Branch Manager
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave VOg!; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
BRAUNSM
INTERTEC
'Gun Interfec Corporation
0950 West 146th Street, Suite 131
Apple Volley, Minnesota 55124-8520
612-431-4493 Fox: 431-3084
Engineers and Scientists Serving
the Built and Natural Environmenfs3
Laboratory Compaction Characteristics of Soil (Proctor)
Date: October 30, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Clasaification
10/20/97 Test Number
DTY Location Sampled
Mn/DOT Class 5: Crushed Limestone
P-6
Laboratory Data:
ASTM D:
As Received Water Content:
S~eve Data, % on 3/4":
Size of .Oversize":
698-91
Procedure:
Prep. Method:
% 3/4"-3/8":
Percent Oversize:
standard C
wet
Date Tested: 10/15197
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity: 2.60
Maximum Dry Unit Weight, pef
Optimum Water Content, %
Curve Values
131
7
Corrected Values
134
132
Ze ro Air Voids
~"'aI r.Mi) ar.e
..... 130
g.
:c S. G. =2.60
~ ( Assumed)
~
-
'2
:> 128
~
0
126
124
Water Content, %
2
4
6
8
10
12
97109c\~6
BWBR Architects
Architecture. Interior Design
400 Sibley Street Suite 500
SI. Paul. Minnesota 55101
6122223701
fax fJ 12 222 X9fJ I
-~
) 0..1" \67
October 31, 1997
Mr. Paul Baumgartner
City of Prior Lake Building Department
16200 Eagle Creek Avenue
Prior Lake, Minnesota 55372
Re: HSM Park Nicollet Clinic
Prior Lake Clinic
Commission No. 96090
Dear Mr. Baumgartner:
It appears from the letter and test data provided by the manufacturer (copy attached) of
the spray fireproofing material installed at this clinic that the spray fireproofing is
appropriate for installation in a return air plenum.
Thank you very much.
Very truly yours,
BWBR ARCHITECTS, INC.
~;tE;~Jrl'
/sjl
Encl.
cc: Greg V oss, Welsh Construction
Harlan Nelson, HSM
~8/97 13:26 FAX
.1. '(.1.'::I'::f( c:;;:td"M M.1NW1.1-Ul::l'U:.
~02
NO. 368 P.1/6
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t:lIIiNlu IMI6 D
, s.n.
'~WI-.-
DATE:
TO:
FIRM:
FAX II:
FACSIMILE TRANSMITTAL
MINun-OOLE Co., INc.
Wall and Ceiling Contractor
October 7. 1997
SCOTT
WELSH CONST.
226-1171
FROM; KEVIN LARSON
FAX #: (612) 735-7053
TOTAL NUMBER OF PAGES INCLUDING COVER: 6 J
MEMO: SCOlT,
PER YOUR REQUEST, WE ARE SENDING A
LEITER FROM OUR FIREPROOFING MANUF.
REGARDING THE USE OF CAFCO "BLAZE II" ·
MATERIAL IN AN AIR PL.ENUM CEILING. ALSO
INCLUDED ARE TEST RESULTS FROM U.S.
TESTING CO. FOR YOUR REVIEW.
WE TRUST THIS INFORMATION IS WHAT YOU
ARE LOOKING FOR.
,
PLEASE CALL ME IF YOU HAVE ANY QUESTIONS
OR NEED ANYTHING FURTHER.
THANK YOU,
KEVIN LARSON
SHOULD T1-II!RJ! BE ANY PROBLEMS t1URrNG TRANSMnTAL. PL.eASE!
eALL 1&12) 7S5-&8DO AI SOON AS POISIBLE.. THANK YOU.
10305d1-5ireirNaftJI · OmllJe.Minncsora !Sl1S . (6J2) 73s..S8ClOtFu (612) 13!-'7GS3
&lIMIt ~~ brpllfjW
.08/9i 13:26 FAX
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Ii AX RO,
201 347 9170"v.............
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F'AX. 12'1'1 ~7.G1'C1
0ctDba 1. 1S97
Nt. Kevin I...aI'ma.
Min\l~i.Olle 00., Iftl:;.
10306tb 91:. Norell
OakdaJo. MH 55128
RE: Park Nlcallet Clime: - Prior lAb. Mi~
Dear NT. Lanoo:
Please b., 8dv1scd of the fallawing J"C!IftI)q me 'PI'1I1 appUcation of CAFCO. BLAZE-
SHIELD- 0 .pray-epplied fire reliltive maCerial (SFRM) in an area 10 be utilized .. all air
plenum .u'bjooc m the effeccs of ait IDO~
A method of a:stlq deVeloped. by ASTM idcadficd U It&Ddard ES59, "Air Brosicm ot Sprayed
Plre Baislivw MJIk:ri1lk Applied to Str\IIC.tU.n.l Membenll' addnalell this Uauo. Under ASTM
BI!9. a sample of me macerial to ba tqtecJ illCcared in a tcsI duct. 'lbc duc:I haa a blower .~
ane end aDd a ftl1lBr of kDown wei&hE at the other. ""!aIed awaia1 is wbjccIIM ID an air
velocity af 1.2.00 1'oct per mJDUIC (f,p.m.).1boa dlc idtcr is rcmoYcd ad weJabcd ac preac:ribod
mtervals untU it ceases to gain weiPt. PJeue DtJl81bal air mcm:m.cm in a typk:a1 air p1enum
area r8Dgell bmveen 2.So.~50 f.p.m.
We have conducted .uch taU on Ul'lbl~ aDd V"v.s1e.d Ip:clmcu of BLAZE-sHon.D n
"sin. an air velocity of 1,200 f.p.m. Tbe weiJIlIlaiB I'OCOZ'dI;4 is COIIIidcrabl)" ICl5S thaD the
allowable lilnt~ of 0.02S III'mII per aci\W'c toot II! set fonh by the PcdmlJ aSA Sp..if'1t:&tio_
WlllCh have beclOmI: \be IWldmt of the industry. 1'he mamiaI ]Olt expcriCDCCd duriq this
!eat cea.~ after d1e firtt 6 ~urs. ealel'tJ-l'~ the parp period.
It is a m,ndtltnry teebnique to cwnpray all BLAZB-SJ.f1Rl.n Ilapplicatioas with . 'Io'8%er
o'Verapray wtltell wilt ~ IUq looee wd"Kc JDIIm'wlIld eaab1e the biDden to mipte U)
Ihe IUrhce of the SF1U4 to prOYidt: a firm surfiM::e. In areas where there il ~tuc:l to be ·
grearcr dum Dlumal amaUlU of all' mo~emo..r .ucb as elevator shafts or areas adjacent to
exhaust faIlI. it it ra:ollllDC11ded that aDJ' CAPCO BOND-8EAL be applied as a seaIcr'. Under
normal QOnditiona. however. . wawr oVlI1pray is adequaze.
BnCIOled p1eue find . copy or tbe ASTM E8S9 at report for DLAZB-SHIELD II.
.
~'fO()IICTa FOR.'
10'''' ."OT,cnON
r""ItIlIAI. IN.flJ.AT'''N
$OtJIlIP CQNTRO(.
,08/97 13:26 FAX
......;T. 7.1997'" 2: 32PM I S'rM1NUT l.-l)(:jL,,~NAT I D\UL
, tJlI "... 6'."':' ,.. u..u;;,U.4...... ......,J.,I.I..., .. J.l.I\
FAX NO. 201 347 917ONu.~~
~04
....~~~ 2
MI'. kcYlA Larson
October', 199'7
-2-
We \rOIt tbj, bdbrmaUOIllBSwers YOOJ' CODCeI1lS. Ple.... do DOl besitate to OODrACI our
realoDal ~ JcpntealaUft. Mr. Sam Harma at (320) 393-2090 or the UDd.ersiS1Sed at (201)
347-1200 if Y01l lhoukt bave 111' furlhcr quadoDS reprdiDglhia IUbject:.
SiDccreIy.
~f?>~'
Howard R. Sajed:i
Technical ABIly.
IIRS/am
Bndasuro
co: $. Huml - Minnalco. Illc.
../08/9i 13:26 FAX
..;....1. '(.1':;1;1"(2' i::::4.:t"'M ISfMJ.l'1ull-vbLbN'TIouAL
, >J I .Iot... ,.;~._ k4tlO......ll. U\JIO&\ ^ .l\
FAX NO.
201 3~7 917D,~."r:ll:S
....4/1:1
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United States Testing COr1'\pany, Inc.
..1 "~IIit',"\':l."lI.N"'''' . '...A'I!I.O.....w..tllli't01GQ4 . illl'.."..~!i; . F.. ~01.:.U..."
REPOAT OF TEST
r:flglnll.rIflQ $"rv;CIC
CL.XZIoI'I':
X.o1&~.k %n~.~n..~.n.~
~l r~rn~ca S~r~Q~
Sc.nft~p., New 3~~..Y
0"'4
NUKIIER: .0:12:17
April 24, 1992
. -.
ntlD.r!:C'1':
A1~ Era.ien ~BS~ .epor~ on CAPCO~ aLAZE-sHtE~O 11-
spray-^ppl~c~ P1re-aes4s~1v. Ma~ar~~l
R'R.Jl'21l2YOr,
A~~h.r~=~~1onl c~~.n~'s lo~~c~ e~ &~~howL2.~~O" da~ed
J.n~.~y ~, ~9g2 rc~er8neinq ~hQir
purCh... grd.~ We. COGIO~.
Sp.o~tj,O&1:oLOnf ASTK EISt....' "&1:o."CI&Z'CS T..-.::. MClIICllOC! ~C1Z"
~1r tros10~ of Sp~aY8~ Fire-noS~S~~VQ
Ma~orialG App~t.d ~o g~ruce~r~~
Members II .
App11ca~le Doc~..nc.. Ufti... ata... ~..~~ftq C~., ~ne.
RepQr~ No. 102528. dA~ed 3an~ary ~, ~902,
dQ~~1~in9'$ample propara~ion and. AS~M
~Ei05':7" Il"l'a.l:. MethoGs tor T!\1c:kness and
cen.i~y ot'.p~&y.4 Fire-RD.i.e~~o
.Ha.'l:eri.~). App1.1ccl ..0 s~Z"\1a~uJ,"a~ MOII\,t.,cran,
E~MPLE ~~~H~~~~e~~~gN!
T~o (a) ~an.~s prepared ae ~he Cl1oft~'s tacili~ies en
~oY.~bor 5, 19t1 under ~he supervision at Un~cGd s~a~es
Tcs~inq CompAny parsonnel as 4e~ailed 1n ~he ~GtQronead
t;.s~ rQpgrt.. Sp4C:~1Il.n panels measured .,.. )C GO" ~nd.
~on~is~.d oi 5/1" ~~r. ~a~o~ 9YP.u~ ~a11~ca~d cubG~ra~Q
on~o wh1~h ~AFCO. B~~2-SHIELD XXw was ap~ay~.ppl~.d ~Q
a no=~n.~ ~~~ckn... of ~'4 ~nch.s and C~nAl drv dGn.~~y
or ~6.S pet tQ.~.~~1n04 per ASTK E6Q5).
JI.l:)a ~
at J
lv
::a:n:I; ::ZPM.
JE~~
V f;~ Prcej.c!.n~
~SGS .......11560................ . '1
': .h.C' .:........... I.m'..._III..._1 _ .'.Icrl... . ~'_,"""'1I1 "r'''''lpeJ "ili_ ,.
'0'_ _,.J.~ 1_~1.._ 01_.._. _ ~_,........,~.... ....T... ._...u:. ,.. ....."o_,........_ctlK._,..... -.N:l''': _elf ..._'IAI,...lrlU'"
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,.. ~l_'.. I. .1._..__'..... aooA.I Nl':-II __..."..._lKlo_IIwlN:llQllt .."",..~'o...'.'''''''' _0:. ..~_......I....v lcal..,.....~..a.-I.,
......, 1..r.._............4O'*"1I_ _~M.II___lOIJ.. h."U___~lI..................~........__I....a. _c..oou,c.o,a ,..."",..-
, .". _...0.._1_...... ........'.., _1~"'''''''MoXlwCl$''''IIQ'-loc.caI'''''''.IY&",'.__..'_IO_I'''''_IIlII'''')Y.IA'I' I.......
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.... 1"1' _r ... :.._11 _III .... ......,.
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FAX RD. lUl ;;4'/ ~l'fum". ~==
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United States Testtng Company, Inc.
CLIENT:
Isola~aK tn~e~na~1o".1
CAFCO. 8LA3E-aHrZLO zt>>
NaKJI Eiu 1. 0:12 :17
33"1' D~J..tLS t
one (1) speelman ~as eKpo8sd ~Q the Air Ercsion ~es~ d8ta~lQd in
~he rQfarancec ASTM method: tne other was used to determine the
density ana avera98 .ppli~.~1on tbickness. p.nals wore teeted
a~ter a e~rift9 period in exe... Q~ ~ha 28 day minimum, maintainea
at the elien~'s tac11ity. priDr ~o ~e.tinq ~h. .pcei~.n. were
eondi~1oned ~n a eon~rolleQ la~ora~ory .nv1ron~.~~ at 70 ~ lO.F,
30 = 20' RH ~Qn~it1on5. salient teaeures are .u~mari2&d D.lo~:
APPARATt1~
~) ou=~ Sy.~.m, a f~. 10 i"chee lanq. ~ar~2on~allY
positiOl'led. with a ~2" x au openi"9 in eh.- c.n~.r of ~h.
~op ~o accep~ tha t.s~ saapl. (4 re.: e~posed area).
H) p~to~ TUDa, used in con~une~icn wi~h ~ ~ano~Q~er ~c
measure air veloei~y in ~h. duc~.
CJ &~Ow8r. capaol. o~ ~oYift9 air ~n~oU9h ~h. Qn~izQ cross
see~1on of ~he duc~ a~ a velocLty of 1200 ft. per
l'I\i"u~o (6 tAl s) .
D) Fileera, u~s~ream of the ~.at spae1mGft a~d & eo11aeeift9
til~G~ downs~re.m of the teat 5peci~en. . OCw"s~rea.
filter fabr~e w.s JQ-Q.n~er nylon, conscrueted with 94
ends pe~ inch and sa pick. par inch.
~) Scal., nav1nq a capaciey o~ 100 9r... .n~ & ..n_leivity
of = 0.001 qrams.
i=~OCECURE:
~) Tn. eCllGctinq tilt8r was ini~ially allc~.d to dry tar
cne hQur a~ SO.C C12DOF). 7t was tben imaediately
waiqhed and pl.C8a QV.~ the exit end, of the duct
appara~ul!I.
B} The G~ec1men we. p~aGed o~.~ ~h. dUGC gpaninq eo the
fa~. of ~h. apec1men an~ ~he 1ns1de f.ea of the ~uct
were tluBh. The edq.. ot the Bpeeimon, ex~endinQ at
le.8~ 2 1nc~.. (50mm) ~.yond ~h. d~Qt cponinq war.
s..lad ~o ~h. d~ct ~D preve"~ By.tam laaka9a.
va". 2
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~OCEDUR'R'I
Ccon~'d.)
C)
'1'he p1~oe t.uba was FQsi1:ione.d .. inches (100mm) ~IiO. 1:.11.
upst::ream ed.~e ot the specimen at 1:ha een1:.er line of: '\:he
duc1: end 2 ~nche.s ('Omm) below 1:he top side o~ i:h. .
duct.
E)
W~th bo~h riltera and the speoimen in pOKLt~on, ~he
blower was ~&1n~ain.Q a~ en averaga ve1ag1ty o~ 1200
fi:Jl'L\in\li:e (6m/a). ",
The blower wa. stopped a~ !nte~qal. o~ 1, 6. a4 and 48
hours, the coll.ect:1l\ljf ~ilter removed, dried ~or 1. hour
a~.50.C (120.P) and re~eiqhed.
I))
~BS'J' RBSUL~S: CAP~O. BL122-SHIELD. rydD
The ~o11ow~n~ dae. represents tha fil~er wBlgb~ ~aln.4 .1n~. It.
~rior weighing, e.g., the ~epgxted 9ain of +0.0050 is ~he
1ndicatad we1qnt gained du~1n9 ~h. 1 nou~ p.riad oe op.ra~~on.
Corr..pcndinq values or ve1vbt: inc.ra...- per sCI'lare f'oot .is 'the
weight gain ror the period divided by tha 4 square ~oot Brea
oxpo8acl.
J.
6
24
1ft.. :tnc1:'.....
of f!1~ar flJlrl.)
+0.005 -
0.000
0.000
We. 7n.C!:'eaca (qms)
;.alc" Sa. Ft:.
'rime !'Br1cc1s
(Haura\
+0.001
0.000
0.000
D:t8eUS9l:0N :...
~he wai~ht gain or tha oo11ec~inq fil~.r 4ue to a1~ .roS~Cft of'
thB te~te4 sa~p1. shows that the principal we1qht g.in occurred
only fo~ 't.'ha .rlJ:'st onQ hour perio4, :beyond. which no ~urther
.r~oGion cccu~~ed.
R
~.PR 3 G \99? .
D
I'&CJ8 :I
Marbttq
BRAUNSM
INTERTEC
. J'CIun Intertec Corporation
6950 West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-4314493 Fax: 431-3084
Engineers and Scientists Serving
the Built and Natural Env;ronmenrse
Sieve Analysis of Fme and Coarse Aggregates
ASTM C 136-84a
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project: BODX-97-109C
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Date: October 27, 1997
Field Data
Sample No.:
Sampled By:
Date Sampled:
Date Received:
Date Tested:
Classification:
Sample Location:
G-2
RDA
10/16/97
10/16/97
10/16/97
Class 5, crushed limestone
North entrance road, Station 1 + 50
Laboratory Results - ASTM C 117, C 136
Sieve Size % Passinl: Specifications
I" 100 100
3/4" 97 90-100
3/8" 57 50-90
#4 41 35-80
#10 11 20-65
JA
#40 24 10-35
#200 11.4 3-10
Remarks:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
Braun Intertec Corporation
~
J es M. Samuelson
ranch Manager
97109c\sa.2
lQ~.l,.~~.l':f;'(: 6 Co"
.1::>t-:!:1612 IVllI'IU Il-U\:>Lt..
.LltJIllU\A'-'D. AJ.LJ,UUU'"
. .. .......--- T'IU. ':j(ICI
I"'.lb/lb
"..stQp.M
F.... ProteCt'on Mortar
~p.w
Intumescent Plowabl. Putty
~n8ta"at'on Guide
Cable TraY Syatem
through Floor. or We'ls \....),
11 ............ ..... ."
l.."~J""') .::~.:..~..;
_~~\~:1("ll."I~"". CD
,,:'~.'\~"'~..-~l'.:~'r. '
.~:. ~.:;.., ~..::lI.-;':<~
\t../~t:y/ ,-';':'.1.-,'/:
1\.... ~.:.... f....~..Io#"...~
...,',J '~h..~...:".t"'l
..... ~ "" .., (', ""..,.,... , ~
(2)
@ Wall In8tallatlon
C'>
Rigk1 sealing
0) Rated Wall
<2> TReMstOP FP 1,;
CI) TReMs10P M
CD <&> Cable Tray .
(I) cable
(2)
<1>
G>
1. A(IIPlY \he _ layer (60 mm; 2.6 irdIeS) aI TREMataP II flre pra\lldklll morlllr. -ring 1I1St tt
covers all remaming space around the cableS.
2. N1fIrf a 1l.Ibe-farmed IeyI>I' 01 T.-aP FP in\Ufll<lliCllnt putty 10 lhicIInMS a130 """ (1.2ll1nche81
around the cable bUndle wh8l'8 tt psN88lhrt>U11h the - oIlhe ..011. - possible. eq-
the putty in betWeen the tndMduaI cables.
3. Fl1I \he remainder of \he ca\IIIY wi1h TftEIIatOP II up \0 lhlIlll'I"" edge of the .... ponll1llIII<lft-
ClltInG \lmlO ~ on \he 1DllIIlhIcICr*S 01 \he \n8l8II8d ayetem ond \he amlJ\eIIt \8mIJlll'a\IIre.
..
".' 't' ~..,;-.' ~'..~....,:,
~ \"" ~ \......"'>;~ ).-::-r, ~
';;J'\;~:i~:~.~~~\;
..-7.."-"'t'.fk""~ ..,
\..
BRAUNSM
I NTE RTEC
aun Inlertec Corporation
",950 West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-4314493 Fax: 431-3084
Engineers and Scientists Serving
the Built and Natural Environmen~
October 27, 1997
Project BODX-97-109C
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437
Dear Mr. Voss:
Re: Summary Report of Construction Testing Services and Special Inspections, Health
Systems Minnesota Prior Lake Clinic, Client Project Number #97-068, Prior Lake,
Minnesota
As you authorized on May 12, 1997, we have provided construction testing services and
special inspections for the above-referenced project. Our services included:
· excavation observations and compaction testing,
· test pit observations,
· concrete testing,
· masonry testing, and
· structural steel observations.
The concrete and masonry reinforcement observations were performed by the structural
engineer. This report provides a summary of our services.
Available Information
The project plans were prepared by BWBR Architects and were dated April 28, 1997. The
project specifications included an environmental soils report by A TEC. The soils report did
not indicate the density or moisture content of the soils.
Building corner offset stakes were set in the field by the excavating contractor, Belair
Excavating. Braun Intertec Corporation (Braun Intertec) approximate excavation oversizing
measurements, bottom of excavation elevations, and compaction test locations and elevations
were referenced from these stakes. The exact graded building pad location is the
responsibility of the excavating contractor.
Proposed Construction
The site plan indicates that the proposed medical clinic building will measure 15,713 square
feet in plan dimension. The building will be one-level, slab-on-grade structure supported by a
structural steel frame and masonry load bearing walls. Finish floor slab will be at elevation
969.0 feet. The building will be supported on typical spread footings with an assumed soil
bearing pressure of up to 3,000 pounds per square foot. Associated with the building will be
underground utilities, bituminous drive and parking areas.
'""-'lsh Construction Company
t 4 Jject BODX-97-109C
October 27, 1997
Page 2
Test Pit Observations
Four backhoe test pits were performed near the building corners on June 3, 1997. The
purpose of the backhoe test pits was to aid in evaluating the suitability of the silt layer
encountered at depth (approximately 10 feet deep) in the soil borings.
Soils encountered in the test pit observations generally consisted of 2 to 5 feet of silty sand fIll
overlying 5 to 12 feet of poorly graded sand with silt and gravel over about 1 foot of silty
sand underlain by silt soils. Water was encountered in test pit 1 at approximate elevation 953
and in test pit 4 at approximate elevation 956. In test pits 2 and 3, dynamic cone
penetrometers (DCP) were performed in the silt soils to a depth of about 3 feet. The DCP
readings indicate the silt soils at depth are in a medium dense condition. See the attached Log
of Test Pit sheet and DCP results that are attached to this report.
Excavation Observations
The purpose of the excavation observations was to aid in evaluating the suitability of the soils
encountered in the excavation bottoms for fIll and building support. The excavation
observations were conducted by a senior engineering assistant from June 2 through June 5,
1997. The excavation observations consisted of observing the soils exposed in the bottom and
side walls of the excavations. Approximate density or consistency of the soils encountered in
the excavation bottoms were estimated by judging the force required to advance random,
shallow (about 1 to 3 feet deep) hand auger probes and by performing dynamic cone
penetrometers (DCP). Soil classifIcations were determined in the fIeld by examining the hand
auger probe cuttings. Observations of the footing subgrade soils were also made before
concrete was placed.
The soil borings indicated there was approximately 5 feet of fIll overlying natural soils in the
building area. The excavating contractor subcut the fIll soils from the building area which
mainly consisted of silty sand with a dozer and scraper. The bottom of the excavation ranged
from approximate elevation 961 near the northwest corner to approximate elevation 963 in the
southeast portion of the excavation. The soils encountered in the excavation bottom primarily
consisted of poorly graded sand with silt and gravel that was judged to be in a loose to
medium dense condition. We recommended the bottom of the excavation be surface
compacted with a large, self-propelled, vibratory roller to density the loose sands and provide
a more uniform subgrade for engineered fill and building support. The excavation was
oversized a minimum of 10 feet beyond the building lines. See the attached sketch which
shows approximate bottom of excavation elevations and approximate excavation limits.
Compaction Tests
In the building area, 20 compaction tests (1 through 20) and two retests (lA and 4A) were
performed in the engineered fill placed for the support of the proposed building. All tests or
subsequent retests met or exceeded the minimum density requirement of 98 percent of
standard Proctor density (ASTM D 698) below building foundation and 95 percent below
floor slab.
Nine compaction tests (21 through 29) were performed in the utility trench backfill and the
engineered fill placed in the borrow area of the south parking lot. Test numbers 22 and 26
'........tsh Construction Company
1.",ject BODX-97-109C
October 27, 1997
Page 3
failed to meet the minimum density requirement. All the other tests met or exceeded the
minimum density requirement of 95 percent of standard Proctor density.
Test number 22 was taken in the sanitary sewer trench in the north entrance road. The soils
encountered at depth in the utility trenches from Franklin Trail approximately 180 feet south
were a mixture of organic clay and soft alluvial clays over waterbearing sand. The clays
were in a wet condition generally 8 to 10 percent over optimum moisture content. A
compactive effort was made by the utility contractor with the wet clay soils, but density was
not achieved. The utility trenches were backfilled to within 2 to 3 feet of finished grade with
the existing clay soils then capped with granular soils from the south parking area.
Compaction test number 26 which was taken in the borrow area of the south parking lot also
failed to met the density requirement.
Pa vement Areas
The majority of the pavement area has approximately 2 feet of granular soils at subgrade.
We recommended during the final grading that the granular soils at sub grade be surface
compacted by a large self-propelled vibratory roller to provide a more uniform subgrade.
Test roll observations were made by a senior engineering assistant on September 8, 1997.
The test roll was performed with a rubber-tired front-end loader with a full bucket. In the
north entrance road (North Finger Road), rutting of 4 to 6 inches was observed after one pass
with the loader. These areas were marked with paint and we recommended the unstable areas
be subcut 6 inches and replaced with coarse rock (3 inch minus), then place the aggregate
base to establish subgrade.
In the parking lot, various areas of 2 to 3 inches of rutting was observed and marked with
paint. We recommended these areas be subcut 2 to 3 inches and replaced with additional
aggregate base.
We also recommended that all the subcuts be sloped approximately 20: 1, so not to create a
water trap.
On October 16, 1997, we returned to perform a test roll on the aggregate base for the north
entrance road. This was at the request of the City of Prior Lake. The test roll was
performed with a loaded, single-axle dump truck. No rutting or deflection was observed from
Franklin Trail to the parking lot entrance. Detlection and cracking of the aggregate base was
observed at the south end of the road (approximately 60 feet). We recommended the
aggregate base be peeled back in this area and either the subgrade soils be dried and reworked
until stable or subcut 6 inches and replaced with additional aggregate base or coarse rock.
Concrete Testing
Concrete testing was performed on the footing concrete during placement. The concrete
tested was placed in general accordance with the project specifications. A total of five sets of
concrete test cylinders were cast on the footing concrete. The compression test results
indicate the 28-day strength requirements were met. The compression test results were
previously submitted and are attached to this report.
,~.,tsh Construction Company
! . Jject BODX-97-109C
October 27, 1997
Page 4
Masonry Testing
Two sets (1 and 2) of masonry block prisms were tested for compressive strength and met the
28-day requirement. Mortar was tested for compressive strength and mortar/aggregate ratio
which met project requirements. One set (8001) of grout prisms were tested for compressive
strength and met the 28-day requirement. The results of the masonry testing have been
previously submitted and are attached to this report.
Structural Steel Observations
Structural steel observations were conducted from July 16 through August 5, 1997. The
observations were performed by a NDE technician II certified by the International Conference
of Building Ofticials (lCBO). The observations consisted of visual weld examinations and
bolting observations. Fireprooting observations and testing were also performed. The welds
and bolts observed were found acceptable per the structural plans and specifications. No
outstanding discrepancies remain on this project. Special Inspector Daily Report forms were
left in the job trailer after each observation and are attached to this report. A more detailed
summary of our structural steel and fireproofing observations will be submitted in a separate
report.
Summary
Based on the results of our excavation observations, test pit observations, hand auger probes,
dynamic cone penetrometers and performance of the recommended surface compaction, it is
our opinion the soils encountered at the excavation bottoms and in the test pits were suitable
for fill and building support.
Based on the results of our compaction tests, it appears the engineered fill placed in the
building pad area is suitable for building support. With the exception of tests number 22 and
26, the compaction tests in the utility trench backfill and pavement areas indicate the
engineered fill placed was suitable for pavement support.
Based on our test roll observations and the corrections made in the pavement areas, it is our
opinion the sub grade soils and aggregate base are suitable for pavement support.
Based on the results of our concrete tests, the footing concrete tested was placed in general
accordance with the project specifications and compression test results indicate the 28-day
strength requirements were met.
Based on the results of our masonry testing, the unit masonry met project specifications.
Based on the results of our structural steel and fireproofing observations, the welds and bolts
observed were found acceptable per the structural plans and specifications and no outstanding
discrepancies remain on this project.
,.~ Ish Construction Company
h\Jject BODX-97-109C
October 27, 1997
Page 5
General Remarks
Services performed by the geotechnical and materials engineers for this project have been
conducted with that level of care and skill ordinarily exercised by members of the profession
currently practicing in this area. No warranty, expressed or implied, is made.
Thank you for using Braun Intertec. If you have any questions regarding this report, please
contact Dave Youngstrom or Greg Bialon at (612) 431-4493.
S incerel y ,
\.' O~
~Youngstro
Senior Engineering 'A sist nt
ProCessional Certi tion:
I hereby certify that this plan, specification or report was
prepared by me or under my direct supervision and that I
am a duly Registered Professional Engineer under the laws
of the State of Minnesota.
~~~~
Project Engineer
Registration Number: 24017
Attachments:
Sketch
Log of Test Pit Observations
Dynamic Cone Penetrometer Results
Report of Field Compaction Tests, Reports 1 through 8
Proctor Curve, P-I through P-5
Compressive Test of Concrete Cylinders, Sets 1 through 5
Compressive Test of Masonry Block Prisms, Sets 1 and 2
Mortar for Unit Masonry
Type S Mortar Proportions
Compressive Test of Grout Prisms, Set 8001
Special Inspector Daily Reports (Structural Steel, Reports 1 through 5)
Special Inspector Daily Report (Fireprooting, Report I)
c: Mr. Scott Steffen; Welsh Construction
Mr. Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
dty\gjb:slcg\971 0ge \!pl
.;.'
.a
-
10'
N
10' oversizing
Legend
TP
'-~
~/
@
@
Approximate excavation bot~om elevations
Approximate backhoe test pit locations
... -- -
Approximate excavation limits
BRAUN-
INTERTEC
Excavation and Test Pit Observations
Park Nicollet Clinic
Prior Lake, Minnesota
INT
ORAWN BY:
APP'O BY:
Joe No.
owe.No.
SCALE
BRAUNSM
INTERTEC
Log or Test Pits
BODX-97-109C
Health Systems Minnesota Prior Lake Clinic
Test Pit Surrace
Number Elevation Depth: Soils Encountered
TP-l 965 o to 2': Fill (SM) Silty Sand, fine- to medium-grained, moist,
brown. Mixed w/(SC) Clayey Sand
2' to 15': (SP-SM) Poorly Grade Sand with Silt and Gravel, fine-
to medium-grained, moist to waterbearing, brown to
light brown
Water level at 12-foot cave-in depth.
Test pit terminated at 15 feet.
TP-2 966 o to 2': Fill (SM) Silty Sand, fine- to medium-grained, moist,
brown. Mixed w/(SC) Clayey Sand
2' to 8': (SP-SM) Poorly Graded Sand with Silt and Gravel, fine-
to medium-grained, moist to wet, brown to light brown
8' to 9': (SM) Silty Sand, mostly fine-grained, wet, gray
9' to 12th': (ML) Sandy Silt, medium dense, wet, gray
12th' +: (SM) Silty Sand, medium dense, wet, gray
TP-3 965 o to 3': FILL (SM) Silty Sand, fine- to medium-grained, moist,
brown, mixed with (SC) Clayey Sand
3' to 8th': (SP-SM) Poorly Graded Sand with Silt and Gravel, fine-
to medium-grained, moist to wet, brown to light brown
8th' to 9': (SM) Silty Sand, mostly fine-grained, wet, gray
9' to 13'+: (ML) Sandy Silt, medium dense, wet, gray
TP4 967 o to 5': FILL (SM) Silty Sand, fine- to medium-grained, moist,
brown
5' to 12': (SP-SM) Poorly Graded Sand with Silt and Gravel, fine-
to medium-grained, moist to waterbearing, brown to
light brown
12' to 13': (SM) Silty Sand to (ML) Sandy Silt
Water level at ll-foot cave-in depth.
Test pit terminated at 13 feet.
)lIiIr.'CIIOI'P'
BRAUN'M
INTERTEC
Dynamic Cone Penetrometer Test Report
Job Name: Health Systems Minnesota Prior Lake Clinic
Job No.: BODX-97-109C
Client:
Welsh Construction
Tech:
DTY
Date: 6/3/97
Penetrometer Dimensions:
1 3/S-inch diameter tip, lo-pound hammer, 24-inch fall
Location Sketch
',~
,
, " \~---
-t/i
DC? 1
Test Results
N
Test Number DCP 1 DCP2
Surface Elevation 957 956
Blows, 0 to 6" 14 16
Blows, 6" to 12" 23 22
Blows, 12" to IS" 20 25
Blows, IS" to 24" 15 17
Blows, 24" to 30" 22 19
Blows, 30. to 36" 34 24
97109c\pcDCt.1
"r
BRAUNSM
INTERTEC
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 1
Client:
Mr. Gregory VOSS
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Pr' Lalc M'
mnea )0 IS, - lor e, mnesota
Max. Lab Inplace Specified
Soil Optimmn Dry Density. Inplace Dry Relative Minimmn
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pd') (%) (pd) (%) (%) Comments
1 612/97 N P-1: SC 12 117 15 111 95 98 B
2 6/2/97 N P-1: SC 12 117 11 117 100 98 A
3 6/2/97 N P-1: SC 12 117 12 117 100 98 A
lA 6/2/97 N P-l: SC 12 117 14 115 98 98 A
Key: N
SC =
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
*
Test Test Location Elev~1
1 15'S, 27'E of NW building envelope comer 963
2 20'S, 65'E of NW building envelope comer 964
3 10'S, 20'W of NE buildinl:!; envelope comer 965
lA Retest of 1 963
Elevation Rererence:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\cu.I
es M. Samuelson
ranch Manager
v
BRAUNSM
I NTE RTEC
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 2
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M. r MN 55 37 06
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Pr' Lak M'
mnea )0 IS, 4 -1 0 lor e, mnesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density. Inplace Dry Relative Minimwn
ID and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pet') (%) (pet') (%) (%) Comments
4 6/3/97 N P-l: SC 12 117 13 112 96 98 B
4A 6/3/97 N P-l: SC 12 117 12 115 98 98 A
5 6/3/97 N P-l: SC 12 117 13 118 101 98 A
6 6/3/97 N P-2: SP-SM 10 112 10 113 101 98 A
7 6/3/97 N P-2: SP-SM 10 112 9 115 103 98 A
8 6/3/97 N P-1: SC 12 117 14 116 99 98 A
9 6/3/97 N P-l: SC 12 117 13 118 101 98 A
Key: N = Nuclear, ASTM D 2922
SC = Sand Cone, ASTM D 1556
* = O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
I Test I Test Location I Elevation !
4 50'S, 4O'W of NE buildinJ1: envelope comer 964
4A Retest of 4 964
5 45'N, 25'W of SE building envelope comer 965
6 20'N, 70'W of SE building envelope comer 966
7 27'S, 30'W of NE building envelope comer 967
8 is'S, 35'E of NW building envelope comer 966
9 10'N, 25'E of SW buildinJ1: comer 965
Elevation Reference:
971 O9c \cII.2
J es M. Samuelson
ranch Manager
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
v
BRAUNSM
I NTE RTEC
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 3
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M. r MN 5
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
. Lak M.
mnea o IS, 5437-1060 Pnor e, mnesota
Max. Lab Inplace Specified
Soil Optimmn Dry Density- Inplace Dry Relative Minimmn
In and Moisture- (Std.Proc.) Moisture Demity Compaction Compact.
Test Date Type Classification (%) (pd) (%) (pd) (%) (%) Comments
10 6/3/97 N P-1: SC 12 117 14 115 98 98 A
11 6/3/97 N P-1: SC 12 117 15 116 99 98 A
Key: N
SC =
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
*
Test Test Location Elevation
10 20'N, 15'E of SW building comer 966
11 15'N, 50'W of SE building envelope comer 967
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\cls.3
Braun Intertec Corporation
es M. Samuelson
Branch Manager
v
BRAUNSM
INTERTEC
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 4
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M. r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
p. Lalc M'
mnea )0 IS, - nor e, mnesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density. Inplace Dry Relative Minimwn
ID and Moisture* (StcLProc. ) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcf) (%) (pcf) (%) (%) Comments
12 6/4/97 N P-3: SM 91h 123 8 123 100 98 A
13 6/4/97 N P-3: SM 91h 123 9 125 102 98 A
14 6/4/97 N P-3: SM 91h 123 10 122 99 98 A
15 6/4/97 N P-3: SM 9th 123 10 121 98 98 A
16 6/4/97 N P-3: SM 9th 123 9 124 101 98 A
17 6/4/97 N P-3: SM 9th 123 10 125 102 98 A
Key: N = Nuclear, ASTM D 2922
SC = Sand Cone, ASTM D 1556
* = O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
I Test I Test Location ! Elevation !
12 IS'S, 45'E of NW building envelope corner
968
13 55'N, 30'E of SW building comer 967
14 15'N, 10'E of SW building comer 968
15 5'N, 65'W of SE building envelope corner 968
16 75'N, 20'W of SE buildinll: envelope corner 967
17 20'S, 50'W of NE buildine: envelope corner 968
Elevation Reference:
97109c\cts.4
J es M. Samuelson
ranch Manager
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
~
BRAUNSM
I NTE RTEC
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 5
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M. r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
P' Lak M.
lnnea )0 lS, - nor e, Innesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density* Inplace Dry Relative Minimwn
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcf) (%) (pcf) (%) (%) Comments
18 6/16/97 N P-l: SC 12 117 12 113 96 95 A
19 6/16/97 N P-2: SP-SM 10 112 7 110 98 95 A
20 6/16/97 N P-2: SP-SM 10 112 8 109 97 95 A
Key: N
SC =
*
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A == Test results comply with specifications.
B = Test results do not comply with specifications.
Test Test Location Elevation
18 Grid A, 3.5 (Interior wall backtl11) 967
19 Grid B.5. 2 (Interior wall backtl11) 9671fl
20 Grid F .5, 1 (Interior wall backtill) 967
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97 1 09c\cls.5
J es M. Samuelson
ranch Manager
~
BRAUNSM
INTERTEC
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 6
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55 3
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
P' Laic M'
mnea )0 IS, 4 7-1060 nor e, Innesota
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
21 6/17/97 N P-1: SC 12 117 12 118 101 100 A
22 6/17/97 N P-4: CL 15 1141h 23 100 87 95 B
23 6/17/97 N P-5: CL 13 119 15 113 95 95 A
24 6/17/97 N P-5: CL 13 119 14 114 96 95 A
Key: N = Nuclear, ASTM D 2922
SC = Sand Cone, ASTM D 1556
* = O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
I Test I Test Location ! Elevation !
21 Franklin Trail, 10'S of MH 1, Sanitary sewer trench 961
22 North entrance road, 110'S of MH 1, sanitary sewer trench 957
23 South oarking lot, 75'N, 50'E of SW corner, borrow area 961
24 South parking lot, 15'S, 70'W of SE corner, borrow area 963
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\cts.6
J es M. Samuelson
ranch Manager
v
BRAUNSM
INTERTEC
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 7
Client:
Mr. Gregory VOSS
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M'
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
lDnea ol1s, MN 55437-1060 Prior Lake, Minnesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density* Inplace Dry Relative Minimwn
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pel) (%) (pel) (%) (%) Comments
25 6/18/97 N P-4: CL 13 119 16 113 95 95 A
26 6/18/97 N P-4: CL 13 119 17 111 93 95 B
27 6/20/97 N P-2: SP-SM 10 112 12 107 95 95 A
28 6/20/97 N P-2: SP-SM 10 112 11 108 96 95 A
Key: N
SC =
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
*
I Test I Test Location 1m:." I
25 South parking lot, 20'S, 65'W of SE corner, borrow area
26 South parking lot, 85'N, 55'E of SW corner, borrow area 964
27 North entrance road, ST A 3 + 75, water main trench 962
28 North entrance road, ST A 3 +00, water main trench 961
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Me. Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\cts.7
es M. Samuelson
ranch Manager
v
BRAUNSM
INTERTEC
Report of Field Compaction Tests
Date:
June 25. 1997
Project: BODX-97-109C
Report: 8
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 5
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Canst. Co. #97-068
ak M'
lnnea DO IS, 5437-1060 Prior L e, lnnesota
l\'1ax. Lab Inplace Specified
Soil Optimwn Dry Density* Inplace Dry Relative Minimwn
ID and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pd) (%) (pd) (%) (%) Comments
29 6/23/97 N P-3: SM 91h 123 10 123 100 100 A
.
Key: N
SC =
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
*
I Test I T est Location ! Elevation !
29 North entrance road, STA 2+75, water main trench
964
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c:\c:ts,g
Braun Intertec Corporation
J es M. Samuelson
ranch Manager
BRAUNSM
INTERTEC
Laboratory Compaction Characteristics of Soil (Proctor)
Client:
Mr. Gregory VOSS
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project: BODX-97-109C
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Date: June 17, 1997
Field Data:
Date Sampled
Sampled By
Classification
6/2/97 Test Number P-1
DTY Location Sampled
SC: Clayey Sand, fine- to medium-grained, brown
Laboratory Data:
ASTM D: 698-91
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
Procedure: standard B
Prep. Method: wet
% 3/4.-3/8":
Percent Oversize:
Date Tested: 6/3/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity:
111
Corrected Values ASTM D 4718
f
%
Maximum Dry Unit Weight, pef
Optimum Water Content, %
119
117
.... 115
g,
:=
~
~
...
'c
:::l 113
>.
...
Q
109
Water Content, %
6
8
10
12
14
16
97109c\p-l
BRAUNSM
INTERTEC
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 17, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis. MN 55437-1060
Desaiption:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-Q68
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classification
6/3/97 Test Number P-2
DTY Location Sampled
SP-SM: Poorly Graded Sand with Silt, fine- to medium-grained, some Gravel, brown
Laboratory Data:
ASTM D: 698-91
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
Procedure: standard B
Prep. Method: wet
% 3/4"-3/8":
Percent Oversize:
Date Tested: 6/6/97
Rammer Type: manual
% 3/8. - #4:
Spec. Gravity:
Maximum Dry Unit Weight, pef
Optimum Water Content, %
Curve Values
112 pef
10 %
Corrected Values (ASTM D 4718)
I ~f' I
113
112
.... 111
CJ
Q.,
.c
co
~
...
'c
::l 110
~
Q
109
108
Water Content, %
8
9
10
11
12
13
97109c\,.2
BRAUNSM
INTERTEC
Laboratory Compaction Characteristics or Soil (Proctor)
Date: June 13, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classification
6/4/97 Test Number P-3
DTY Location Sampled
SM: Silty Sand, with Gravel, fine- to medium-grained, brown
Laboratory Data:
ASTM D: 698-91
As Received Water Content:
Sieve Data, % on 3/4.:
Size of .Oversize":
Procedure: standard
Prep. Method: wet
% 3/4"-3/8.:
Percent Oversize:
Date Tested: 6/6/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity:
Maximum Dry Unit Weight, pef
Optimum Water Content, %
Curve Values
123 pef
911.1 %
Corrected Values (ASTM D 4718)
I ~ I
119
. . . . . . . .
127
125
..... 123
g.
.:
.c
00
'u
~
-
'c
::l 121
?:
Q
117
Water Content, %
5
7
9
11
13
15
97109c\p-3
L.,..-'
BRAUNSM
INTERTEC
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 25, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classification
6/17/97 . Test Number
DTY Location Sampled
CL: Lean Clay with Sand, dark brown to gray
P-4
Laboratory Data:
ASTM D:
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
698-91
23%
Procedure:
Prep. Method:
% 3/4".3/8":
Percent Oversize:
standard B
wet
Date Tested: 6/19, 6/20/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity: 2.65
Maximum Dry Unit Weight, pef
Optimum Water Content, %
Curve Values
1141h
15
Corrected Values
115
113
Ze ro Air Voids
~mmvQr.e
'- 111
(J
Q.
:a S. G.=2.65
QI) ( Assumed)
'4)
~
....
'c
::l 109
>-
...
Q
107
105
Water Content, %
12
14
16
18
20
22
97109c1p-4
~
BRAUNSM
INTERTEC
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 25, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classification
6/17/97 Test Number
DTY Location Sampled
CL: Sandy Lean Clay, brown to dark brown
P-s
Laboratory Data:
ASTM D:
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
698-91
Procedure:
Prep. Method:
% 3/4"-3/8":
Percent Oversize:
standard A
wet
Date Tested: 6/19/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity: 2.70
Corrected Values (ASTM D 4718)
I ~ I
Maximum Dry Unit Weight, pcf
Optimum Water Content, %
Curve Values
119 pef
13 %
. .
122
120
Zero Air Voids
~0A'\e
..... 118
()
c.
:c S.G. =2.70
:.0 ( Assumed)
';)
~
-
'c
~ 116
~ /
Q
114
112
Water Content, %
8
10
12
14
16
18
971 Q9c\p-S
"""
BRAUNSM
INTERTEC
Compressive Test of Concrete l;yllI10er
Test Method: ASTM C 39, 6" x 12" Cylinder
Date:
July 7, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 1
Date Cast: 6/6/97
Time Cast: 1:35 p.m.
Measured Slump: 31h-
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 83 OF
Cylinder Cast By: ' DTY
Liquid Added at Site: none
Sample Location: Footing: Grid Line G, 3.5 to 4
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 617/28037
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
lA 6/9 6/13 3 4 7 96500 28.28 3410 B
IB 6/9 7/3 3 24 27 140560 28.29 4970 L
lC 6/9 7/3 3 24 27 135820 28.29 4800 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
971 09c \cOlIC. 1
-v'
BRAUNS"
I NTE RTEC
Compressive Test of Concrete Cylinder
Test Method: ASI'M C 39, 6" x 12" Cylinder
Date:
July 9, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 2
Date Cast: 6/9/97
Time Cast: 1:45 p.m.
Measured Slump: 4.
Measured Air: not taken
Concrete Temperature: 82 OF
Air Temperature: 850F
Cylinder Cast By: DTY
Liquid Added at Site: 5 gallons to 10 cubic yards
Sample Location: Footing: Grids C to F, 1 to 2
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 496
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
2A 6/10 6/16 1 6 7 102500 28.30 3620 B
2B 6/10 7n 1 27 28 117410 28.27 4150 L
2C 6/10 7/7 1 27 28 122000 28.27 4320 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required desi&D strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97 1 09c\cooc.2
'"
BRAUNSM
I NTE RTEC
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39,6" x U" Cylinder
Date:
July 9, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FlELD DATA:
Set Number: 3
Date Cast: 6/10/97
Time Cast: 1:25 p.m.
Measured Slump: 31h ·
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 810F
Cylinder Cast By: DTY
Liquid Added at Site: 5 gallons to 10 cubic yards
Sample Location: Footing: Grids D to F.S, 4 to 6
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 496
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
3A 6/11 6/17 1 6 7 75900 28.30 2680 B
3B 6/11 7/8 1 27 28 118990 28.28 4210 L
3C 6/11 7/8 1 27 28 119590 28.28 4230 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7~y test result projects that the specified strength will likely be met at the 28~y age according to
a typical strength age relationship.
L: The average 28~y test result meets the required design strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete &. Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
971 09c \cOIlC.J
./
BRAUNSM
INTERTEC
Compressive Test of Concrete Cylinder
Test Method: ASI'M C 39, 6" x 12" Cylinder
Date:
July 21, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 4
Date Cast: 6/20/97
Time Cast: 2:00 p.m.
Measured Slump: 3-
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 810F
Cylinder Cast By: DTY
Uquid Added at Site: 6 gallons of water to 8 cubic yards
Sample Location: Footing Pads: Along Grids C, 3 to 4
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
TJUCk or Ticket No.: 566/28741
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
4A 6/23 6/27 3 4 7 94360 28.29 3340 B
4B 6/23 7/18 3 2S 28 116950 28.29 4130 L
4C 6/23 7/18 3 2S 28 119940 28.29 4240 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoslci; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
971 0ge ~0lIIC.4
J/
BRAUNSM
INTERTEC
Compressive Test of Concrel..e Cylhtdec
Test Method: ASrM C 39,6" x 12" Cylinder
Date:
July 25, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97~8
Prior Lake, Minnesota
FIELD DATA:
Set Number: 5
Date Cast: 6/27/97
Time Cast: 1:15 p.m.
Measured Slump: 2.
Measured Air: not taken
Concrete Temperature: 8SoF
Air Temperature: 870F
Cylinder Cast By: DDM
Uquid Added at Site: none
Sample Location: Two exterior piers south of Grid line and footings, Grid A-D, 6-7
DESIGN DATA:
Mix Design: Mix #1
Supplier. Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 369
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
5A 6/30 7/7 3 3 6 110060 28.29 3890 B
SB 6/30 7/25 3 25 28 135190 28.29 4780 L
5C 6/30 7/25 3 25 28 131870 28.29 4660 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 6-day test result projects that the specified strenith will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c:
Mr. Scott Steffen; Welsh Field Office
Mr. Dave Voat; Graser Concrete It Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
Braun Intertec Corporation
9710ge\c:olld
v
, ~t' ~
BRAUNSM
I NTE RTEC
lUll Intwtec CorpoI ation
udOl Washing10n Awnue South
P.O. Box 39108
Minneapolis, Minnesota 55A39'() 1 08
612.941-5600 Fax: 941.4151
Constructing and Testing Masonry Prisms
Used to Determine Compliance with Specified
Compressive Strength of Masonry
ASTM C 1314-95
Engineers and Scientists Serving
the Built and Natural Environments"
Date: July 14, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Project: BODX-97-109C
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Specimen Description
Block Type: 16" Plain Stretcher
Nominal Size: 16" x 8" x 16"
Supplier: Anchor Block
Mortar Type: Type S
Location: Below Grade Foundation Wall
Obtained By: Contractor
Date Prepared: 6/10/97
Ungrouted Prisms
Sample DimeusioDS
Specimen Number:
Date Received:
Date Tested:
Width (in):
Length (in):
Capped Height (in):
HeightfI'hickness Ratio:
Mortar Joint Thickness (in):
1A
6/13/97
6/17/97
*
*
*
*
*
IB lC
6/13/97 6/13/97
7/8/97 7/8/97
15.64 15.63
15.60 15.60
23.64 24.24
1.51 1.55
30/64 31/64
28 28
210,150 193,810
97.90 97.90
2147 1980
0.86 0.87
1850 1720
Test Results
Test Age (days):
Maximum Load (lbs):
Test Area (sq in):
Masonry Prism Strength (psi):
Correction Factor:
Corrected Net Strength (psi):
Compressive Strength of Masonry (psi):
Specified Stren~-f' m (psi):
7
*
*
*
*
*
1790
1350
Remarks:
The prisms tested above meet or exceed the project specified minimum 28-day
masonry compressive strength (j' oJ at 28 days.
Note:
* Broke prior to testing.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
paa\bodx\tests\97109c.3
1u-:j,W ~r)
Peter A. Rauch ~
Materials Scientist
BRAUNSM
INTERTEC
GUn InterNc Corporation
0801 Washingtcn Awnue South
P.O. Box 39108
Minneapolis, Minnesota 55A39.QI08
612.941-5600 Fax: 9414151
Engineers and Scientists Serving
the Built and Natural Environments"
Sampling and Testing Concrete Masonry Units
Test Method ASTM C 140-91
(For Net Area Determination)
Date: July 14, 1997
Project: BODX-97-109C
Client:
Mr. Greg Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Producer: Anchor Block
Unit: 16" Plain Stretcher
Date Submitted: 6/19/97
1. Dimensional Analysis
Unit Number
Item 2A Average Specifications
Length, in. 15 21/32 15 21/32 :1:4132" from IS 20132.
Width, in. 15 20/32 15 20/32 :l:413r from IS 20132.
Height, in. 7 22/32 722/32 :l:4/3r from 7 20/32"
Gross Area, sq. in. 245.08 245.08
Net Area, sq. in. 97.90 97.90
Remarks:
The test result above is for net area determination for masonry prism compressive
strength testing only.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
Braun Intertec Corporation
~~~(.\crj
Materials Scientist
paa \bodx\tcsIS\971 09c:. 4
......,
BRAUNS"
INTERTEC
Constnlcting and Testing Masonry Prisms
Used to Determine Compliance with Specified
Compressive Strength of Masonry
ASTM C 1314-95
Date: July 9, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Specimen Description
Block Type: 8" Plain Stretcher
Nominal Size: 8" x 8" x 16"
Supplier: Anchor Block
Mortar Type: Type S
Location: Above Grade Wall
Obtained By: Contractor
Date Prepared: 6/17/97
Sample Dimensions
Specimen Number:
Date Received:
Date Tested:
Width em):
Length em):
Capped Height (in):
HeightfI'hickness Ratio:
Mortar Joint Thickness (in):
TeSt Results
Test Age (days):
Maximum Load (lbs):
Test Area (sq in):
Masonry Prism Strength (psi):
Correction Factor:
Corrected Net Strength (psi):
Compressive Strength of Masonry (psi):
Specified Strength-" '" (psi):
'Un InNIWC Corporation
...."1 Woshinglon Avenue Soulh
P.O. Box 39108
Minneapolis, Minnesola 55439'() 1 08
612.941-5600 Fax: 9.41....151
Engineers and Scientisls Serving
the Built and Natural Environments"
Project: BODX-97-109C
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Ungrouted Prisms
2A
6/19/97
6/24/91
7.68
15.64
15.88
2.07
29/32
7
150,570
60.83
2475
1.01
2500
2500
1350
Remarks:
The prism tested above meets the project specified minimum 28-day masonry'
compressive strength (f'..J at 7 days.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake (=) ^
Mr. Jim Samuelson; Braun Jntertec (Apple Valley) ~WL
Peter A. Rauch
Materials Scientist
pu\bodx\lala\97109c.l
."--
~...
BRAUNSM
INTERTEC
211ft InNrIec Corporation
...dOI Wasnington Awnue South
P.O. Sax 39108
Minneapolis. Minnesota 55.439'() 108
612-9.41-5600 Fax: 941-4151
Engineen and Scientisl3 Serving
the Built and Natural Environments"
Sampling and Testing Concrete l\1asonry Units
Test Method ASTM C 140-91
(For Net Area Determination)
Date: July 9, 1997
Project: BODX-97-109C
Client:
Mr. Greg Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Producer: Anchor Block
Unit: 8" Plain Stretcher
Date Submitted: 6119/97
1. Dimensional Analysis
Unit Number
Item lA Average Specifications
Length, in. 15 21/32 15 21/32 :f:413r from 1520132"
Width, in. 7 21/32 7 21/32 :f:413r from 7 20132"
Height, in. 7 19/32 7 19/32 :f:4132. from 7 20132.
GroSS Area, sq. in. 119.73 119.73
Net Area, sq. in. 60.83 60.83
Remarks:
The test result above is for net area determination for masonry prism compressive
strength testing only.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
B~,o:LD
Peter A. Rauch
Materials Scientist
paa\bodx\lala\97109c.2
BRAUNS"
INTERTEC
Mortar For Unit Masonry
ASTM C 270-91a
Date: August 1, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Sample Data
Sample Number: 8001
Sample Location/Lot: Not Given
Cement Type: Not Given
Mortar Type: Type S
Producer: Not Given
Laboratory Data
Wate! Retention
~
- Initial Flow: 112 110:1:5
- Final Flow: 9S
- Retention (% of
Initial Flow): 84.8 70%, min.
Air Content (%): 3.8 12%, max.
Compressive Strength
J... .l. ..1. Ave.
- 7 day (psi): 2490 2540 2640 2560
-28 day (psi): 3150 3010 3130 3100
';raun Intenee corporation
, 6801 Washington Avenue Soulh
P.O. Box 39108
Minneapolis. Minnesola 55439.0108
612-941.5600 Fax: 941-4151
Engineer$ and Scienri5ts Serving
the Built and Natural Environments'
Project: BODX-97-109C
Project Description:
Health Systems MN Prior Lake Oinic
Prior Lake, Minnesota
Oient Project Number 97-068
Conditions
Ambient Temperature:
Water Temperature:
Humidity:
Date Cast:
Time Cast:
Proportions
Mortar Type:
Parts Per Volume:
Actual Weights:
Portland Cement =
Hydrated Lime =
Sand, Damp =
Water =
~
1800 psi,min.
73 of
700F
52%
6/26/97
2:00 p.m.
TypeS
1: 1h:41h
470.0
100.0
1800.0
355.0
Remarks:
The mortar tested above meets 28-day property specifications for a Type S,
cement-lime mortar at 28 days.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun InterteC (Apple Valley)
~~~
Senior Engineer .
pu\bodx\telca\97109c.5
BRAUtlSM
- --
\N1ER1EC
--~n'~~
30\ Washington Avenue South
P.O. Boll. 39\08
Minneapolis, MinnesdC 55.09.0 \ 08
6\2_9.i\.s600 fQ)C 9.i\.4\5\
Engineers and Sdentis/S Serving
!he Built and Natural Environments"
Type S Mortar Pro-portions
Project: BODX-91-109C
Date:
July 14, 1991
Project Description:
Health SystenlS MinD<Sota Prior J..ake Clinic
prior Lake. Minnesota
Client Project Number 91-068
Client:
Mr. Gregory VOSS
Welsh construction Company
8200 Norroandale Boulevard. Suite 200
Minneapolis. MN 55431-1060
straight Proportions
Unit weights (AsSumed)
~en1 lJroe
~d
portland Cement, Type 1 :::: 94 pcf
Hydrated Lime. Type S:::: 40 pet
Sand. DaIllP and Loose == 80 pcf
1 pan: 1/2 pan: 4 112 partS
Batch Factor = _1800_ = 5.00
4.5 x 80
Material Weights (Lab)
portland Cement. Type 1
Hydrated Lime. Type S
sand, Damp and Loose
::::
1 x 94 x 5.00
::::
410.0
100.0
::::
1/2 x 40 x 5.00
4 1/2 x 80 x 5.00
:::
1800.0
::::
::::
Material Weights (Field)
portland Cement. Type 1 :::: 94 lbs.
Hydrated Lime. Type S :::: 20 Ibs.
Sand. Damp and Loose. :::: 318 Ibs.
== 1 bags
== 1/2 bag
::: 10 five gallons pails
~: . For purposes of ca\l:Ul3lion. a mo\stUfe C(lDIell1 of 5 percent .,.. assumed.
c: Mr. Scott Steffen~ Welsh Field office
Mr. Dave V ogt; Gresser Co1Jl""lC and MasonrY
Mr. Mark eackosld~ l)UnhaIIl Associates
Mr. paul Baumgarmer~ City of Prior Lake
Mr. Jim samuelsOn; Braun!DrCrt"" (Apple V~ -A'~
~~,,~~~
peter ..... RaUCh ~ -
...__191109<.6 MaterialS Scienlist
..~J
..
BRAUN'. ·
INTERTEC
,j
e
Standard Method of
Sampling and Testing Grout (Field)
ASTM C 1019-89a
Date: July 14, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Field Data
Set Number:
Date Cast:
Date Received:.
Temperature:
Slump (inches):
Mix Design:
Specified Strength (psi):
Location:
Project: BODX-97-109C
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Canst. Co. #97-068
Prior Lake, Minnesota
8001
6/13/97
6/16/97
750F
8th"
Corefill
3000
Coerfil1: Below grade foundation walls, north & west
sides
Sample Data
Sample Number:
Average Width (in):
Average Height (in):
Average LIW Ratio:
Correction Factor:
Area {in~:
8001A
8001B
800 1 C
16.89
17.22
17.26
Laboratory Data
Break Date:
Field Cure (days):
Lab Cure (days):
Test Age (days):
6/20/97
3
4
7
7/11/97
3
25
28
7/11/97
3
25
28
Test Results
Maximum Load (lbs):
Corrected Compressive Strength (psi):
Remarks:
68170
2410
B
87880
5100
L
90800
5260
L
Remarks:
B: The ,-day test result projects that the specified strength will likely be met at the 28-day age
according to a typical strength age relationship.
L: The average 28-day test result meets 'the required design strength.
Braun Intertec Corpo .
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\1019.801
---
,~ ...
BRAUNsM
-
INTERTEC
Report Number:
Project Name:
Project Address:
Client:
Weather:
Type of Inspection:
o Continuous
~ Periodic
e
Special Inspector Daily Report
City of fr-/o r L Q.. k
S+rv-C,,+tJaJ .s~e..-( -:tt {
P~k ~~~Irft ('("~"'-_
L b 7__ ;::-r~i.l/'l /.,-.
h)e!J4 a...s+~f,'CM. Co.
5v.Au'i-
e
;)-
Page --L of
Date of This Report: 7 - I b - q 7
Project No.: PO j))(- <1 7 -I b'1 C
-
Client Project No.:
Temperature:
7 5'"" of
Inspection Coverage:
o Masonry
-m. Welding
~ Boltin
o Foundations
o Fireproofing
Tendon Placement 0 Other
Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed:
A - '3 }S'
~{)-:f ~~'''''j
% .. d(;~ 6b (-led ('o~ec-?;D..r
:-
=
-
~~
a';' c~...c~ !txk tJe::.-/1r
.,{.: :: _ .:. ., ~c~.e~/.'!.~
. ~
h' /k~ weUr
,{
.
{(to 30
C-E
-c
CCC;o'l ~I/~/(.r ~....." Co "",,(!.r5b.A,.j
~.)I' '].-'f ((~f'1)
:&t, S ~ <f- ~ 0 (-
....-/.'c. f-fr...c~
No 0 ,'-tQ....... ~7
No 0
u. ( .f-N.-S'l .. . <. ... CC """
. Are there any discrepancies noted from this day's observations? Yes ~
. Are there any outstanding discrepancies on this project? Yes 0
. If yes, see attached Summary Sheet.
To Ibe beSt of our knowledge. work insPected was done in accordance with the approved plans. specifications and
applicable wor~visions of the UBC. except as noted above.
Signed: ~/t2- Date: 7-/~-'7:?
Print Full Name: L,- (/{j I.D. Number: -;; If 96 P
(White copy to Braun Intenec file. Blue copy to General Contractor.)
rnn\~insp.4 11'2.5/95
'a"RAU HSM
INTERTEC
e Continuation of e
Special Inspector Daily Report
City of ft:br [e:b....
Page J- of J-
Report Number.
~l-rf.4.c.f""-,,,.J <: ~eel-fr- I
Date of This Report: 7-- (6 - 9 :;
Project No.: Fo.1Jx-9 7 .. lo9C
Project Name: tz-rk. '<<'C'olfef cf.......~
(Note: This is a continuation of a report. The first page of this report has infonnation which should IlOt be
separated from this continuation.)
&;\ C' (~"r r;>hi./scn e~ ,.) a (( ~,....") -f~~ S"-4d t k t xi-
9r4'O~ ~ ~/(e.f. ~e(cfy ~ de..~'-/.f I ~ d, 3/ C(/ E.d.-
hn~ C. :3 - S- a/'ll- p."Tbs~-f..7 G::J-r~.e.. ; ~~- a.(t.~~b~
re~a.\-\:", ~s ~r-~ co, f~(es.s oJ f.Je1d:."
Cb 6Ra~ -7t> kz.,,''-1s' o~tfe (Ci) tv&. C. ]-y !ek:( S-A?<l
/ { .
Orts~ .{{'7 d. VtoT '~ve... r....r:'-h~ I ~~r...A,.q ~ HSL c:fdr::...I/.
I / /f
Il:!.r JI.1Atfc Ca...ck aSk..' / /)",-'1 hac1;\. ;. ,41'Jo C ('tJ.....Jv.f.k"C/ ~...~f {.Jeff}
, ,/
f1fJ-n'{e,J o{ +CJL. covrd:-kvi' He"~ s n...~J -ka.+ if fL ,"xl! Make: q
,
)~-J.~ Vi'oS.of ~ <5.6S'lZ.l"V~ ~ ("o......~t:.-H'f>.. S \
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmans~visions of the UBC. except as noted above.
Signed: ~. Date: 7,..(6-~7
Print Full Name: (4.. ~j 1.0. Number: 7 CJ ~ &" ~
(White copy to Braun lntertec file. Blue copy to General Contractor.)
mn\specinsp.422 4/24196
)
BRAUN'Y
INTERTEC
e Special Inspector Daily Report e
City of ff.;(),.. Lal::(J
-
Page
( of
(
Report Number:
Project Name:
Project Address:
Client:
Weather:
S -I-r ~ &f'et. ( .J'~e ef -#.;;J..
Pa.r Ie. N"~~/l?-rr ('/:h.'C
.
I h 705' Frank;;'" 7F ,
tv e IS' It ('0 " r-trr.,t':f/ f) "
()t/u-- C'a.~ +
Date of This Report: 7 - ~ S- - '9 7
Project No.: 9..0 D>e- 97-I09c
Client Project No.:
Temperature: ? d <> r
Type of Inspection:
o Continuous
fi Periodic
Inspection Coverage:
o Masonry
a Welding
D Boltin
D Foundations
D Fireproofing
Tendon Placement D Other
Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed: floo..t' ka......:/ 4 - C I r-. 1- 7
(f) rO'll + d.q,c.,. Cc. &Jet ds CtPo~ ~,'ck. IOf .f'as+I!+,U"~ - ~ cc.~~~ '- w.'k
(
~.tk~"~~'" fa4=- d,,~i eh.J~ tOve..,.-~~) t..J1.....cl re1t..w'Y'..t.. t.J.e/..;J a~ ~t:O:Ch
det;/ ./'4../t! ~r (i-r-......r:&r'( ('~e( ""/Lr.k 9~...J rt~7-r<.. 3 0", ! tee-I- IOJ....
, /
N.~:"" "~J t:.. ....,,(1(:,1:1:......1 r..-Jeri!. arc~Ize;~~ r->e.( d' ~ f.'j'
(;D c/€af' J~J /"Cf'ee" W4-1f ~"7' '-I-Gt~ ske! tA)I?/.1 c.7J~."~c'~)":.r
C-E,'~-' -~cc~~~
e /;~ f- n/&.,-ff- ~ n.'~ rteJ ~ (,'~ j) t ~. '1-' {J4- dtUc;/ 'V"2>fo -a'<.~tQ...
I I
CO dl!rf f'~"'~ o.,vJ~ 4-. ~ fo -Ir...l.a. ~~ c.u("'--r~ /J!~~~~ ~ laA po a.T-
List tests performed: l,r~ D f €5 ] -" - ~ C c~~ G- I
(3) br-r }..:<. ~ ~ b.aah... k..c.,.{~ k It€.-rf- {.-ere! r ?& d~~. '/ d~~<fAo Cf~
,-~ ~ '
I.ur C 1'.' ~ .' ~f.c..,( If.( /'3!1fJ al (,,~ ~ r '3 - ~. I.'~ ~ flO~ eo,...,PWe..1. da.k.
/ f
· Are there any discrepancies noted from this day's observations? Yes fn No D ;~ { ~ :J
· Are there any outstanding discrepancies on this project? Yes 0 No D
· If yes, see attached Summary Sheet.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
Signed: ~ ~ . Date: /-).j-t::f?
Print Full Name: !A- ~J 1.0. Number: /096' r
(Whice copy co Braun Incenec file. Blue copy co General Concraccor.)
I'nnu.p.:.:illllp.4 1/25/95
( '" ~) .
BRAUN'M
INTERTEC
e
Special Inspector Daily Report
City of frt'or fA t.e..
e
Page
of
Report Number:
Project Name:
Project Address:
Client:
Weather:
5 f- f'/A..C +""'ta.-( S..J. (I t' ( ~.3
fAl" fc.. /IItc.,. (e. +r C I;", I L
I ~ 10 '5 Fro." '=.1.." 7f..
~" ('.....("~,.c...c.-f,6...
),.-<a .. 7
Date of This Report: ? ... 3 0 - q 7
Project No.: 8 oD x- q?.. fUqC
Client Project No.:
Temperature: 70 ;:-
Type of Inspection:
o Continuous
.. Periodic
Inspection Coverage:
o Masonry
& Welding
o Bol tin
o Foundations
o Fireproofing
Tendon Placement 0 Other
lans? Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed: tf01) (' ka-. .r^j
(j) rf,~k vJelci- 4- G-" 1-7
~&c,.{ r~V';?~r-l- a~14.
a.f- ~LL+ r:.L~ iJ4r:~
I
/ 1 V3f?t) - 4r('~4'( '-
,., Ow r ~-'ltd te.~ .;- ~t,.-.d CU'c.r""'~ ~
.-f-o C~cl'.e..:fL b ~<:../c e ~o'5"7 ~ /-/e.--/ (,Or1",,"~c.-fto,..,>
o rr -rNL 6~.'/'/,/ A 'C-,~ I, '7
nflZ,...
t
c1.e.. -Ic. ,(
List tests performed:
.
.
Are there any discrepancies noted from this day's observations? Yes 0
Are there any outstanding discrepancies on this project? Yes S-
If yes, see attached Summary Sheet.
No a
No 0
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the tlBe, except as noted above.
~~
~~f'"
Print Full Name:
1.0. Number:
.7-.)0-9,
707'6r
Signed:
Date:
(White copy to Braun Incenec file. Blue copy to General Contractor.)
Innlap<<inap.4 1125/95
iI-"RAu HIM
INTERTEC
e Special Inspector Daily Report e
City of fr"Ir ~~1
Page
( of ~
Report Number:
Project Name:
Project Address:
Client:
Weather:
s ~ '" ~ '+:-fAr A- ( S"' +,:, 2. ( -:#= tf
fbr--fc Nl't:t)/I.e.+- ~I,'k.'c.
16 ?d ~ Ha-k/.i-., 7rc.,C /
LJe (jt, Co... r-f-
S"u_,,}'
Date of This Report: f"- s- - ? 7
Project No.: BoD k" - 97- /0 q C
Client Project No.:
Temperature:
7C;o::t,r::-
Type of Inspection:
o Continuous
$ Periodic
Inspection Coverage:
o Masonry
~ Welding
o Boltin
o Foundations
o Fireproofing
Tendon Placement 0 Other
Yes 0 (Listed Below) No 0
Rebar Placement
Concrete Placement
Description and location of work completed: tf'OCl+ .{;"-7
CD ~~,- ',1../+ -f.o k&~ ~"C~.L.r .l}lter ~/h ~r!dk/
./ /' I
?/3?'b @ f.~ F _ ] - )" - a Ct;;~ ~
@ 6~t:2-'k e'lC~"Drl (0 I' )<0:; c) a-f ~a~ .4--.e....:~ ,I,'-'L. ~ 3-~
;1:0 M '-fA ~ ,.r +- -4- ( ,,~~, 7 .
f1L. ~';?'1A AeJ" k.P+. ."..1- k-d'ed' ~~I1X:__~.$ J> II a ~~ ",~..../-t:. e-.. d
a.-cL CY;IIbJC,.-f~~ if ,i..t:~ ~~ ~ ~.,-.-r4' ~^,d., r;F4'& 4 ~'" 1 //l'lt.-l
""-J itrl.. f'q ? ....-rei f" t'l.cW t!I 6~&,.,~ Dfb- Le .f... r( S- /J J'tl .
V /'
Ik- JOtlv''''?t' ClJ#t.~~ i.~f 6LI?A .4./1 ,e-.,a.-<-... ,("':>.... (.J ~(,./~/ cc.r- /~-.<'"A!f"
I ./ -
I..ilit ti!BlB ~l!fferffi~ ~ I l.J6'6... ,-~ )/"....f~ 4d it:;r WJ1 .t'~/( ()L~-N-' A".:l...
I
(A}f /h/d t:: -I- ~4 ~/e::7.ef i u.J~~ &l~d,~ ~d,.l)-I,n", a Ld,Ar D(a.-k
I
I.( )C / 2. K ~. /./%'_ ~ ~//P / dk 6~ of< (..".j. r I'JI' -1'4.. hd~... ~4.
· Are there any discrepancies noted from this day's observations? Yes 0 No-al
· Are there any outstanding discrepancies on this project? Yes 0 No ~
· If yes, see attached Summary Sheet.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
~ .
Signed: L I"'-e-, ~ Date: f("':..!""'9 ?
Print Full Name: ~ d 1.0. Number: 7 ".,,, r
(While copy to Braun [ntenec file. Blue copy to General Contractor.)
lim \>>p.:cillllfl.4 IllS 195
BRA~UNSM
INTERTEC
e Continuation of e
Special Inspector Daily Report
City of )f.'Or [ok..
Page ~ of :l..
Report Number:
5 f I'c..o<- -h....ro.. { J ~ ( ~ 4'
Par t:. tV:.[.o I ftl...{. c.. (:'" .'~
Date of This Report: f?)' - 9 /
Project No.: 13 0 lJ X- q 7 -I (jq C
Project Name:
(Note: This is a continuation of a report. The first page of this report has information which should /lot be
separated from this continuation.)
(.,)) ~.f...''''''''' e,' /11~~(. (J~-n'c ~ .eKa~.~.... .,<jo", of -14?:. vJ€/d ("'<3 /;~~c6..),...S'
I
~ t..<-...... r:1 CV'r- JU'?h::...t.. c;. " 6 ,- P C<'!J --f C<. (, ~ J..... d 'Ct:; -h '0 -.. -.J c. r /1...:l .J..e.d.
,
~
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workmanship provisions of the UBC, except as noted above.
Signed: "JZ' ~
,
Print Full Name: L-4v1 ds
Date:
~S--97
709Gr
J.D. Number:
(White copy to Braun Intertec file. Blue copy to General Contractor.)
frm~pec:insp.422 4/24/96
Ii~RAu N'w
INTERTEC
-Special Inspector Daily Report _
Page -L of
{
City of R.nr' L ~h
Report Number:
Project Name:
Project Address:
Client:
Weather:
.<\ --k VJ"' -h....n::\,.o ( s-.J.eejJ -::IF- S-
~('f A/,' C'~ /Ie +- ("' tn, '(.,
(.6 7()~- h-c._Ic.('" 7;-tt:..' I
(N(J()~ (-0 -"5 +
s:~ -" 7
Date of This Report: 7'- ;;> -9 7
Project No.: 66 Dk- 9 7- 1'0 C) C
Client Project No.:
Temperature:
::t: 70"P
Inspection Coverage:
o Masonry Rebar Placement 0 Foundations
~ Welding Concrete Placement 0 Fireproofing
o Boltin Tendon Placement 0 Other
Did the architect or en ineer authorize chan es to cit a roved lans? Yes 0 (Listed Below) No 0
Description and location of work comp,eted0 ('&,zrsl"r, "'~.-! reNe.. <<..!.",fC 4-."'J
/
(~l+ Ja? S.j.~t!.-( -rrz....f..5 /! 4~ (A~t:I ~ ~r?f- J'crA..U co...u'tec ~~ "j
FIC~( )
Dflr t=kce! E:..5'f'1l!fin/ ~t?.k 'U ,.( g t c... (-::::r/N 97 €.(o Y9
(
17;..,., /)."-'''y -1'''' JCIYW Co~--edo~<. ,L:: 4::~:.
b) -tr~ s s ~ +v.f:.~ s-f.r?e I Ot:'/?PY1 ./! Irtt..f wl' a _ ~e. _ _ _ 6..e
/
Ie ;~c.. ..{~I. i.L rh,/ skq ,.,c..(....r-.'C,..r t:l~ 1\(.< Nle.rDC.f! fo.~c ,("Q.,s. ~4er ~~
Sk/c: d- +t... 0Jf ;;; W<<J C r..#"J 0.(..('. tt..- r;. ra. .r._J',./c 0-.3. --/"'A t
01 (c~ ~ ~.t'~ w.\f( c...J1....'K /Z.r..,.f- #k4\Jrkr,
I
(It':M ~c.c.-h;- /-1.'(( iteec! to C~d -14.. w~ //s -to otr<t!!.h/.€ hr.f (4!. r-
/
List tests performed: l'Qca. .f. ~ V'\, r 1b 5(2, l~ kI r.e LJe:.'/Y:... c:f..
(
Type of Inspection:
o Continuous
fa- Periodic
.
Are there any discrepancies noted from this day's observations? Yes~
Are there any outstanding discrepancies on this project? Yes 51
If yes, see attached.Summary Sheet.
No 0
No 0 1~"~-lEd ,. ~
-Icd~.f
.
.
r, /Of--f..
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable wo~viSions of the UBe. except as noti.I above.
Signed: c.e:::::za. ~ Date: q -~_ '? ?
J.D. Number: 7~ 7<5"" Y
L~dJ
Print Full Name:
(White copy co Braun Intenec file. Blue copy to General Contractor.)
frmllp.:o:insp.4 1125/95
V~I.~2.1997 1:29PM MINUTI-OGLE
.
.
M.".r AIRlIPIat
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BMlBl'OIIdw~
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WorId'1ftde c.....
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Sr. Plul. MiIhl~
.
w.,ay.!flab SthooI
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Sliltww...~SclLIeI .
StIIlwllM. M~
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.
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M1nnnpolil. MiD_
P. ..........4\1. M_
UDlYIlIIlty or Mu.11IlIOliI
MinnellpQU.. Minnuou
RlliDQI CII't
Mill af 1I,'''nQl
IklomiqIclI, MlnMaI
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Sl. Paul. Mln_
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4nDkII M'eIIv TrullllMll c.n'1If
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4(lO MDlnlCIIlllK:l: Flll:IHll'
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H\IIlm H. HIIIIlphI11
M~lmlllll'llC
MinftUjlQlis, Min_
.
Cl.t\'lldlll c:en.m.
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Uni....Miy or Mrnllefilllll
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Mankalo Ci1lic Cmlllr
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IloaInIapln. ~
DATe:
TO:
FIRM~
FAX #;
NO. 872 P.l/2
i\L
Wall and Ceiling Contractor
October 22, 1997
SCOTT
WELSH CONSTRUCTION
FROM: KEVIN LARSON
FAX #: (612) 735-7053
TOTAL NUMBER OF PAGES INCLUDING COVER: 2 ~
MEMO: SCOTT,
PER YOUR REQUEST, I AM SENDING INFO.
ON THE TYPE OF FIRE CAULK USED AT THE
PARK NICOLLET PROJECT IN PRIOR LAKE.
WE INSTALLED TREMCO "TREMSTOPII
FIRE CAULK PER SPECIFICATfONS AND PER
DETAIL 4H/550. PLEASE CALL ME IF YOU HAVE
".-
ANY QUESTIONS OR NEED ANYTHING
FURTHER. THANK YOU.
KEVfN LARSON
SHOULD THERE BE ANY PROBLEMS PURlNG TRANSMITTAL, PWsE
CALL (112) 731-180O AI SOON A8 P08818LE. llfANK YOU.
7030 6th SIfeet Nonh · 0akdaIe. Minne.OlD 55128 · (612) 735-5800 I Pax (6\2) 735. ')Q5)
Equal Opf'(JNlmir,' EltlPloyer
Linear Seals
Fire Rated Joints/Gaps
COMPosmON
TAEMstcp Acrylic is a one-part acrylic searant
Flexible, paintlble, high performance and suitable for
Interior and exterior use In puslve fire protection
systems.
8aslc Use
mEMstop Acrylic is designed for use in fll'II ratQd
Joints and gaps as a part of the paatve fire
containment system.
'"'-'
FMtures
· Excellent unprimed adhesion to moat IUbstrateI.
· Palntable, ocIo......
.. Lia1eCt eyttems ftIr1lne rated JOintalgaps
(ASTM 5-119).
.. Excellent movement capability - meets ASTM
c-920 requirements,
.. 1 year shelf life.
.. Easy gunning.
PACKAGING
Available in 10.15 fluid oz. 1800 ml cartrfclges and
4.5 gallon 117 liter units.
COLOR
White.
PEAFORMA~CESTANgA"DS
· AS'tM e-119 ~ Fire Tests of ~ointtlt3..
.. UstedlDesign numbers Ja00700S
U9OO7013
(Complete listing report .""itable upon request.)
'-'
Application lnetructions
Please refer to fire resistance dfrectori-. TAEMstop
lnt'CallaUon Manual or cont!JDt your Ioc~ Distributor
or Tremco Sales RepraNntatlVe for oornpl_
, appl1caticm information.
Stantge
Prot8d frcm freezing.
Precautions
For aU Tremco products, and for other proaucts used
in conjunction with Tremoo products, usa,. must
foIlQW Individual prodUct IabeIe and Material SafGt)'
Data Sheets fer wamlngs and prec.~~. Prtor to
opening col\tainel'8 and during use and ctarao-.
PNducts must be ueea with adequate ventilation
and peraonal protection. and 'Japo,. mutt be
prev.nteCI from entering OQCUpfed bUlIdinge.
Availability
Immediately available from your local Tremca
Distrlbutor or Warehouse.
Prlo.
Cost information is available fn3m your local Tremco
Rep.....ntdve, Tremco Olstrlbutor or by caling our
Customer Service Department. For information call
Tremoo in BMMwood, OH: USA 1-800..a21-7908; in
Ohio 1..a00.55a-:soao: In Ca~ (4'8) 421-SSOO in
Toronto and (514) 521-9555 in Bauc:t'lerville.
~18
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.
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M/nJIwpoIlI, MIIIIlcI!cIll
.
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--~-------
.....\liIIa_
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---~
-..1lIdIlIIII
~---
. \ .1. .
I " '\.'
DATE:
NAME:
FIRM: _
FAX#:
IYI1NU I l-UbLE.
NO. 970
P.1/16
e
e
MINUTI-OGLE CO., INC.
Wall and Ceiling Contractor
FACSIMILE TRANSMITTAL
dj- ~:3
';
,1997
-~~fA _j~I/;Af
~-/I?I
,
FROM: Mike Shupien
FAX # (612) 735-1053
a !ot:aUding cover letter.
Total number of pages
speCi81Instrl.lcti~,
~/
.I
hould there be any problems during trans
as soon as pOIlible. Thank you.
(612) 135-5800
I ..' I,'
'," \ ., '.L.T,; .4"::::..N....'..,.... _.
7030 Sixth Street North. Oakct.... Miuesoaa 5'128
.
~OpporNniC)'~
FAX (612) 735-7053
, ,
, . .
...
I ~ ~ .
".
l~:-';;-~,.~~. ...J:'~: tl_~. U~~~J.a n..ll"1U I J..-VI.,:,L.t...
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fff%D{//jfJg!).
....
Tremco Fireatop Key Sysw", Selection Chart
Combustible Pipe
C Pipe I COn4'11k TaBMdap :2 ~ 20a - 4"
(4~ or...Deria~lIIOIUltd"'" v,re-Silar J 2 CA.1"S - ..
'l"RBMttap UN " ~ :a CA.:nOlS - '"
" " , 2 CA.J 201S - 3"
" , 2 114 CA.T 2074 - 'J}'
" 2 2. CAJ 2084 ~ a-
u .. 3 , CA.:J 2.071$ - 3"
" 2 ~2O'11..1-
rvc flll-I Caaduit ~WS Bin" CGmn&c 3 2 CA.l aon - S.
(Y' or lIDaJlu ia rcc:e1lCd d..ips) 1'!l'f!,Matap ftN " 2 2. CA13114 - 2"
~-Si1 11 .. 2 :a CAJ2810 -1 W
2. Z C,t\UAr71 - 1"
.. 2 2 cAnt15 -1"
" 2 :& 2111 - "
Both CoooNIe 2 :& CA.J 2Od8 - 10"
~ 2 2 CAJ 20459 - .'
Cour:rete ~ 'A 20134 - 6" . under
" :1 WJ2U?"'':I' &1"
ConcteUl Z 2. CAJ2OIO - 11~
" 2 :I CA12111S - I"
-' 0:IIlCntI~ 2- :z. CAJ21UI- 2" &4"
0ftIIUIll 11/1 20a0 - "
n Z '1. WL.ZOO- 4'"
to 2 1 WL2OG...;r
2 1 WL 2061 - 2"
01 1 o WI. 20U - ~ & IInder
'l1lBNsmp WI /WBM w.n on-JII ;a 1 'lJJ. WL:aasa - 1.'\ 110."
-ClIft Sl&ewllll III " .. :2 WL 2CI8a - 2," Y'
1\UiMuop WI 6: ~ Wall o,pMllD 2 '1 WL.2l* -1 114'"
TUMtfop WBM " " Z l1n. 'WI.. 2064 - a,q"
" 1 o WL 2M3 -1 Vt" .t ander
aDJDr Ie.,." w.:o....., 1IC.,.....&..~.,... an.. Lor.............. !IIOB
~
lO.V~.!,'~~. .l:r='(~4 C;'l~r=,r-TOJ.." 1'1.l1~U I .l-V\:JLl:..
"'::L.I.~....,p U.L.olU........
~u..~-- T'iU. '::l(1!J
t"'..=J/lb
e
.
~
.../
Tfemco Fir88tOp Key SyMilm Selection Ch....
Metallic Penetration.
2
. 2
.. ,
II " ,
II 3
Muldple Meal PIpe: I Ccladui& 80dl 0:lMrcle 2-
8" ot IIHlIa' wan 11 ,
plated Metal Pipe I Qxaduil. Bodt ~ 2
- Fft)eq\nl (FIG) !I'Ioar ,
- Foam a.... (F) 80th II 114
- A.nIIlIfta (A) II .. Z
.. 2
..
TIlBMaop WBM w.n OJIIIIIIII
l\'yre -SbJeId ot Walt apa 2
-Sil
TUNatap WSJWBM WIll OW-m 2
u.aB
......."
"-'
l~,,--~.;,"~~. '&'-"w~: 4.. '"-" ~~~tilZ ..LIJ.!..'U.!.}-:-V'='L~
II..
'I
" .'::' "1" ,- I,~.." ICiA\lGfI.'~\':'~"
FI~ "olnt~O... ;
..
. ,
~ "
..;
,\ .
. i
.. r
tJ>
Wall
<D
......:......~., ;..;........-
\~...~~;~. J~~...~),,\:~
..t?...'t':,. ::..I....~......
~l!);~);V..~ r('~' t4";:"
\...It':...",..",.....'........_.. ..
}~t'.,., ,,"',; ...~..
.,~.I. ~~\.~~~;~~~t~~
.,<"':^.~6"." U'"'\ If ~
'.oj.:J"~;:~, .t~~~~~_\....\,.
".':-'::;-.. : t' ...... ,..t'f'!\:
Floor
00 <I> (.i)
'_.,~t:~~..,~:- ;~~.:.~~'
. .".f,'\...~,.t;) ...u .;:~
:.~.......,j'~.. \.'~...c,t'
\t~ i...,.......I:..,.'.,,\...
I l''''''. -':'f'j':"~ 11:.1'
.\..~-'i.s",~..,., i.. t .
'~I"IIi~,\....,&\I: c:.'l,f:{'\
"::"').~".I:l/ .:::"10.:\
"I"';'.~'P I'.a.....;...ir J\~'...
, . "_""'HI ".,....r
't:!' ~ \-' ~',.. .:;;or~~~'
;l"C)".l~\V'l-:""l.
:.~~.~::"',~'~.~~'1
~
",--",'
(tl Rated Fleor or Wall
l2> Forming MaterIal
(I) TREMstop sealant
1. Measure the width of the joint or gap In order to calcutate the amount of forming material required.
2. Cut the 8lrips of forming material and. pack intO the joint or gap, compressed 80% to 50%, and set
to a depth .00 thickness as spectfled in the design.
S. Fill the remaintng space on each sIde of the wall, or top side of th. ftoar, ~ toQ1 to a smooth, flush
finish. "'EMatop ..... can be applied with a standard caulktng Dun, by spatule from a bUlk
. container. or poured using dlf-IeVeMing prodUctS.
'\"REMatOp Sealants:
. DyMerlc 511
. OyMonic
· THe 900
. FyreeSII
. FyreeSil SIl
. TAEMIlDP WBM
-......) . Acryno Latex
~
-.-I
CD
~
.. .y -'\-
:,.:;.::,.' t':-- .I...~.
......,.J~ j\'" '....1"
,.;: ......:.,'''....~ 1 ,:.
~;;"'''''1':'''' .] '.;.,
".~I \..r! ~""" ~
~::;.C, ~J~~~~r::;:
,... -:......,.~ oil.~:"
'\."'" ..."" ..... ...
"..\1...~".- .~ ~...
,,#~ ...- "'-;.'"
" """' ,- . ,,~..~
,,"II\' ".,-;',\''''it.,
,'.!It. ~," ,}\,
@
aJ F!oor
~ P181t1c Plpe
II) TREMstDp WS
Q) TREMItOP MeA
$ Fyre.sil
1. wrap spedfIed layers of TREIIIdOP we around penetrating ttern and secure with metallic tape.
(Ol'\e set on eah $lde for waUs.)
2. Slide wraps into plaCe.
S. Mounting:
. OUt length of TR..... MCR equal to W...,strlP circumference. pIuS 2 IncheS.
. Bend mounting tabs out. and retaining tabS in.
. Wrap mEMatop IICR around W~, and secure with metalliC tape and thtn eelf-tapptng
80ftIWL
V . a.t.Jum on ~ UIIIng ~ anchDra thrOUgh the mound"''''
. ~ a emoke.... of""'" around" peNbdon and __ caIW. .. d.,dIed In'" .....
. I
Floor humbly
(1)
Wall Assembly
" '''~'\''N'/'',''.
.1. .... r.l"'''''
_.. .J-,. ."....".41 I'..
'~ \)C... :;I.:.:;' 1"1-
-:,."".?:,.~.1 ,:::..... ~
p .r~.,;.~r""::;'''''.
.\,. .t.:....,.,~ "';
_. ,''\..;,;.....fi~
~.:.,'I,\J...:"~...
_.... ~~~'\ra...~
.."" , . if 4 .." "" II
.....,... ,:1'" "~....
d) Rated Wan
ell TAEMetOP D.
Q) Plastic Ape
<Z
,,-,I
Cf) Ra18d Floor
<2l TREMetDP 0
CI) Plastic Pipe
CD R&ted Gypsum Wall
III Mineral Wool ~ _naI
ell TAEMstoP D
(!) PlMtlc Pipe
1. Ensure that the annular spelO8 requirements are met between the edQe of the hOle. and the pipe.
Wrap and .-ltIon the TRBMatOp D pipe collar around 1118 plpework, (one 0'"' each stde for a verttoal
penetration). l\Qhten tt'II dItmbIld collar(s) securely using pipe damps or metal acrewa.
I. SI1de the pipe o0?8I(8) ftUIh agaInSt the 88M11lbly. MCUreIy fIlItenlng to the 1IMIftbIy.
....J s. ApfAy flnilhlng .. tD 1M Iyatem .. requInIcI by .. deIign.
, "
I 11,1:
Floor Installation
Wall InstallatIOn .
-.J
cD Rat8d Wall
(2) Mineral Wool
a> TRE~ sealant
@ Metat1fc Pipe '.
cD Rat8d Faoer '
~ Mineral Woo,
(I> TREMstoP Sealant
a1 MetalliC Pipe
1. Er\SIft thld \he hale. IrII\1e wall or floOr. ia equal III 1118 0Ul5Ide d1a/II8I8I' oI1t18 penll\rlllllll'l. pillS up
to twice the anowabte annular epaoe in the design.
2. Pad< forming mIl18r1a1 around 1118 penetration. set '" . doplh from the ""'" of \l18 wlIII or floOr ~
as cteecrlbec1 in the design.
3. t'IlI 1118, remaiIIIne ~ on ""'*' eIde 0/ 111.. well _bIy (on the laP olde only, of a floOr InstlIIla-
lion) 'I<IIh TREMalOP $eaIlIIll. and lOOI!he surlaC$ to IIOI1ilWe a ....-u. flnIsh. 'l'IftiIIlItOp SaaIaIlIa
C1II1 be appIIecI el\heI' wlIh a otonderd .ouII<Ing gun, or d1reOlly from the conlBlner wtIh a opIIWI8.
J
TR...... 'aAI7'~:
. TAEMItOP WBM
. Fyre-stt
. Fyre.Sn SA.
. Fyre-Shield
Nota: FyrB-Shleld need only be lIPPlIed on on8
side of vertIc* ..........' or on tre tide at
~ ..........
-.:'"
I
"
j II ,I. 'I! II 1
',' ,~.......-
.'
,Floor Installation
\...J
$
~ ,;":..' ~~~
. .......':.1'~~
~r....:'1"~"
. r'".""" ,.......
~~~~~)..
~....-r..~
:<. ,.y"~
~ ... . . I "
c,":v":"\
.~!1...".1 ~
. t..... ~n
CD f\at8d F\oOr
@ U1nerBl Woo'
~ TRiMsmp Sua&ant
<!> Metallio plpe
(S) ~ Insulation
Wllllnltallatlon,
(j) AtUd W811
(2) Minerai Woof
l2> TREMetOP Sealant
G> MetallIC Pip.
(J) Pipe Insuldon
1. enSure that the hole, In the walt or ftoor, Is equal to the outside cliam8t8r of 1he Insulated penetration.
plus up 10 twtce the allowable annular space In the design.
2. Pack tannins material around the penetration. set to a depth from the tace of the watt or floor surtace
as deecrtJed In the deeign. '
3. Wrap the insulation as d8SCrlb8d in the deslgn.
4. FRI the remaining ~8 on each side of the wan aseernb\y (on the top side only, of a tloor Installa-
tion) with TREMalop s..aant. and tool the surfaCe to achieVe a smooth finlsh. TREIIIdOP ....anta
can be _led either wtth a standard csutklng gun. or directly from \he container with a spatula.
--.)
TREIIMOP .....:
II TAEMMop W8M
. TREMatop we
. Fyre-SIt
· FyrrSlI SIL
. Fyre-8hl*t
10:->::'-2..'5-':'"- .1.=':21.:4_'::" .I.lCJ~'t\l.A!. ,0'.I.I"lUI.I.-U<=JL..1:...
<D
Floor Instllllatlon
<1>,
(5)
. .... \
I .
0\' ,
Floor Installation
<D
(I)
~ .s!j.,:..r
..."of"::....
"~I :.0..-
~ . ^.:.::~r
\, ':Yi ..~
J .,,~J..~~
.... :'\'1.;
....~,\ ~.
.-. ..~..~.
. .". -,.
...~.~~\
., .,.,.. .,
,(I)
RlgId Seating
G) Flaled AGor
<I> TAEMItoP FP
Q) 1l\EMstoP M
(!) Cable Tray
r:s> Oable
(I) SUpport
1. On the ceUlng stele of th8 floor penetration, fix a proper forming board with bOlts onothe eJdstinO ftoor
to cI088 the opening, and fit tightly around the oebleB and tray.
2. Apply the first layer (80 mm; 2.5 Inches) of TREMe. M fire protection mortar. ensuring that It
covers all remaining space around tt\e cables.
$. AfIPIy a luba-tOrtt1lllllayer of TReJIetOp FP 1n\U~ pulIV 10 lhidcntoH DI 30 """ (1.25 Inch..)
around the cab\e bundle where it passes through the centre of the floor. Where possib1e. .queue
the putty an betW8en 1he IndMdual cablea.
4. FiII_ rernIlInder of the __ with 1'REIIatOP M up to the upper edge of the ftoor penetration.
OurInQ time depends on the tG1III thlCkn.. of the lriItaJIed ayatIm and the ........ ............
NaIe: Follow a1mI8r pr.-ctuna for watI penett dOn aysten1. See d1agrWI18 on ather IIde of ilia ~.
v
lOv,-,.c.4 :1.':::":;1(.4 ~--
,.._. _." __........:I.~ltH2 ITI.1.I'IUI.I.-U'=>Lt:..
f"' .,
,I
Floor Installation
Walllnstanatlon
i ....r;;r..;-..;\...;... ~,:~j ~.~..~~~. ~
I~l~.l{t.;~t"~ ,,,~'I."~
,\ ..,._;;._~......r .~J'!.~.."~'" ""
'~~l':;;(~"" .,' , , W
..,t\.7"'..I'~""."~ ",.,.;.-
.: ~~';;'~"'.h:.''''~ 11'0\1"-
~.-:?..-:.~~ "J"~ ....J"Iii:-. ,I'.:;;:
,a.r.,.'v:,~";"\.;'~ N;,:'" ..".~.,
. ,. "l" "1"''' ,. t".... .,.,'
...
,~j; 'r ; .,.... f..',',J" Sj .:;~. I' ~\ ,~.. 1" '.
It,"'r; l ~ ~ ). ^" . i" ~ j. 'r'/ ',;'. r '" I
..~'rl~:l I f. "r~ l~;1f j.,~ ",,,\', :' ;1,', L
....',~,.j;~.,,'.~:::I: '\1 ~ 'f~"'((1 Ie. "" ,,"
'~I:'..~t ", .' ~.~... .1",,,": '\ '-". '. .... ,~'. '" ",",'"
8~~ee~eee
{6:tj~t: ;.i;:~;'~~7~.~~'.:i:':
,~,~~,.." .1...' .,'....',~I,.-:.
.:'~'~:1.~!.i'~;t~~ ~;..::::::'
l,.,.'.:.' ~ :...~.. ~1.:',\ ,,\ .:.~ ;.'':~.
~.~~~tl( 'ri'~~~~ i.',\~~l;-. ~~-"
"I".., . ""1 ..........:..... *.'..... I~.
..~.~~~?:'.(;-.~7.:.. i. 'f... ~.;~~
.:.'~ :~.t;,~,,: ,.:.;::.".:.;.\" '.:'!~'t
<D Aat.d FloOr
~ TREMstoP PS
~ Cab\e Tray
@C..
(!) Wire M88h Su~rt
. G) Rated Wall
<Z TREMstoP PS
~ OCte Tray
Q) -Cable
@
~
.i)
Qenenll:
PU\oW8 are InstaUecl with jOkttS overlapping approxtmately 26 em (1 Inch). Pack the pOIOWS tightly ,ntD
the oplill1ing 8J1cI1n\O gaps lIfOIl1'ld penaotrationa. The pIIIaw tilling """ be shilled and the pIIrHl8 folded
to adjust to the particular appficadon.
Floor Penetration Iea's:
On the celUng side of the floor pe~atlonl fix a proper wire mesh support w;th bob on the existing
floor to akJse the opening. Ensure that an opening is made in the mesh to 10rm a tight 1ft BroUnd the
ClIbIe& and traY. FoUow direction' for packing pUlowa in ne)(t BeGUOf\.
WIll .,.".. .lIOn .....:
TRElRI11", .. "BOWl 81'8 pt'" ImD 1M opening in a ~, brick-taying stYle. The piIoW8 are
ptdwd tgh1Iy around penetrants and a1acked to fin the openi~
Nottt~
When perimeter ~ are )IIaged III\d UMV8n, U18 TIIIlJIatoP M fa pIOVIde a UlIIIorm ...
between the pIlloWS and the sldu of1ha opening.
'-'
F100r In8blllation
Walllnatallation
.' ." .....
\~~/~;~)"-:~1
"'I.... .~""~
~. . '."~.' &I .
.... ~.r~"" ~J~"'.,'"
, "'-':"'('\..'"
\_", .".. .,'" l '.. ,t
,:.~:!.~~~~'
, ..",t ..;..t.....
I'" r*' ",,/fo,.. r.....
"'\.:;.r...~ ..'1..1"
~~:.....~~~~
~==/~ ~ f~.'."1.
~ 1t.;..1 ~ ~,I ~ ~y
.;~J~;~J\;~~.
~~~r,::~~::\I~
.,..,,.... .. r -I
_..',.tI~rI~",.,\,,',\..,I,-,""'~a
"'.A:.: ..".. I pL\.,.,)~~,~~ ...0::;.",.
'r......-;\, ....;(~:.. . ~ ,,;::
... ...1 ~ _", _.' ,?....\ '.~~ ~ .:-u.".
,~~,,'~"""'" .... "I" "t",
"'_......., I . ,<,~..." ~ ~ ""'t~,""':"'
'-"~"'.' ~'''\I~-;....?.J' I.',J-'-;.
:;r;;:~.:t'!< ~ .1';~("'';';~''~Y.~o/'';'''~
(i) Rated Wan
~ Mineral Woot
(I) TREMBtoP W8M
G) Cable
(D Rated FloOr
@ Minerai Wool
(J) TRiMstop WBM
Ci>CabIe
@
'-...;I
CD Ftat.t Gypsum wall
~ Mineral Waof . optional
(I) TREMetoQ WBM
QJ;) FyM-5il
<:S> Cable
~
1. Ensure that 1he hole, in 1he wall or floor, ts tlqual to the outllde dlameter of the cable. plus up to
twICe the allOWable annul. apace In the delign.
2. Pack farming material around lhe cablel set to a depth from the .. of the wall or floor ..... ...
delCf1bed in 1he deItgn.
3. FUt the remaln1ng sptIC88 on Md'I &tete of the wan ueemblY (on the. .... -, of · floor nw.
tJon) wtth 11IEMataP way. and tool the su..... to ~ . amaath ftnIeh. ",11I'1, WIllI can
be 8ppUed either with a standard caulking gun. or direcUy from the contalner wfth a ....1&.
iti. 6\1 ,I' ' " ";'Pia)Wthltlal,.', ,I .
,'mfOuih Floo...: or ,Wa"e '
(RecesSed 'nstaUa"6"')
10:->;;;-2,' f-';+. .1. ='?!' : D
TREMstW(lM
F1re protectIOn Mortar
\t''':',.,,; .;....t(..'"
i'~: ",\',,~..:;..':\"
~J"';:..."""x.::-~ ~.
','IIi", ..... ..~-"n.'" f. \..'
.,~... .._ ~ ... ..I;),
'.~. ....a."..~"'.,.,...\.
""' ~~..., ~,
._ ."''''~ ~.,r;'''r;.''''
Y.;.... ... ,'^.....,' ~ ."
~:,I'-~ ~~~.t-':~~
~"" .:'.'<:~:t~ ';=''7..
... '\...... , ,...r ....
"',,t.-. :'t.. '\..;.to;" ·
\ .....",. \.;~ ,.::'1 \ ~
, ........."..."i .,-:"",",'
"(~""',,"J"'r .....
1'...1" It, '\/t1.r;; 1..\ .. \.:
,..,V~, . n.~~""
,;~"".'J..'lJra~ '
_~.I ~ \;,\~::.'" ...1
,~.~C;I~~lr~~~'
il 'I...~...~{~ '''''~'J'
\..~:.~:.,"t,~,:.<>
~,..~. 'J ..,.~,i ..~ ':.~.-
I..~""~"~"~~~~
/'.~'h"';;v'::X
,-_r...I... \t;J. .../......,..1,
''Ll''''' .. 'v' "..,"
=\ ~'" ~ ,>:=.,\1l..:.\.~'~
,:-'.1, ,...", ....... ,.
\.,--,,'
CD Floor
(2) '1'REMstoP M
(I) Plastic Pipe
(j) i'A&MstOP we
<I> FyrrSlI
1. Wrap specified ,syers of TAE" WI around pen81raUn; item and secure 'tilth meta111c tape.
2, SlIde wraps Into the annular space.
3. secure WrapStrtp in place w1th metallic tape.
4. seal with Pyre"', TREMatOp WBM. or TABletop M as deSCribed In the detrign.
'0
'1,1
.., '. ..~ .. i~ .'
Where to us. TREMstoP F',. prOttetton PlWUGW':" .
. 'I \ .t
L' . .
.,
..
. "
( METAL P1PE, CONOUIT}
\ ............ 1'1II....
fYJIS' J-IL
. .....
INSULATED METAL Pl~E
Combustible
InsulatIon
.,,~'l'-., ___fT... -._lA><pll8
......... .....u
....,
Non-Combust\ble
lnsularton
. .-.afjpr-. . ..., If ..
,.,.41-1'
"..
"-"
l~
u.~
~
\ PLASTlC PIPE l
_\ 1~", __..-
. JAIllIDiP!'I', .....Mp-
....... .. S-
l GM~:V6. J
1 .......
~MPORARY SEAtif
\ ~.......... THC IOD. ,..
...... Ife. AorVIIC.....
.RlII~
~I~E-RATEO JOtNTS )
.-J
. .1
..-1.' '" !I,
~ ~l ( ,
.,
TREMstoP Fire protection.
Product Appncatlons
'-.J
.....Ule ............. eebleSl Temporary P,V.e.
Product PIPe ...... PIpe . Trays Seale Pipe dolnt8 Gape
TREMmOP WBM X X X X
TAEMstI)p WS
1'AEMSIOP MeA )( X
TAEMstOP 0 X
TREMs\OP FP .
TREMetDP M X
TREMstOPPS X X
Fyre SlVSL X )( X X
fyre sn"k'1 )( )(. X
Dymetlc X
aymordc X
THO 900 X
AcryliC LateX )(
J
06:01AM BRAUN INTERTEC BLDG2
e
t-'.l/'='
e
t1i~~' r~q-+e.C-
/-
, '
I
I.
tE; S-f,~.../.s-W ? Fre ?ro>of{-;; .e~""--~ .f,'"...
4+ -1-4.. ;;...,,/:. ;f.'Co k# ('/..... .'C d 0.:(,7 D6~-{,'?J"
r'L~""'+ r "
I
I,
I
'I
r:~ ~-h-/
~k;~ed Pl;~.'n-,tA-
c/ei>J5;'7 -I~.f+ ~
., cr- ~ ./'.
LA t-Iy1z:
kLA-^, c:i ~
~
~
"
, ,
o(v \01:;
'97 06:02AM BRAUN INTERTEC BLDG2
e e
Special Inspector Daily Report
City of R-/Dt' 1-al(L
Report Number:
Project Name:
Project Address:
Client:
Weather:
P.2/9
I
of
Page
Hr~..,o'C'IC.r;J ~ (
Rul:. Kr'~D I~~ ~I.~.'c
"10~ f/;-tut /;.I.", "".."
W6S I. to.r/f'c.pt.~...
-r:: d.:o"
Date of This Report: ?~ /0 - 9 7
Project No.: fI/)/)K-9 7 - / oq C
Client Project No.:
Temperature: ~ 70 '::>1'
Inspection Coverage:
o Masonry
o Welding
o Boltin
Did the architect or en ineer authorize change.~ to ci
Type of Inspection:
o Continuous
~ Pedodic
Rebar Placement 0 Foundations
Concrete Placement a. Fireproofing
Tendon Placement 0 Other
Yes 0 (Listed Below) No 0
roo r ~_..... q
,;
E-~ ;),.~
Description and location of \Work completed:
@ -r-{.'e ~~rJ'
fi ("P AI ratl'\ .[..,"7
f
~i!.4I5 ""-'"" ~+S
List ll:'istS f'effg"n>ed:
~~rc...~AJ.J'" -rt'.ak6-.
o!l~ +t..s:L S'~r~ &lAAA~J
'/ /7
;.... o.r~ o~c:f .......eR ..J.(~k +t..'c..&~s J"
("Qr~
/lfr., 2~ . r- A .-d'~
oS' ...,tI>e,1
t)" ~ , I!rfl.. /~roD ,(',,/
I I "
,6
c 0.. r/"War fa r .
"'~'e("""'~
~,...
E~ t.f. S- v-As f"
,
,,_ ~ t:~c.'f1'o ,,_
'--oIOr Ie.
.
f?.::;" r..
milf\ ,i--I.u-. rle.....s.} r~B....jrC...
Are there any discrepancies noted from this day's observations? y~"D No Ie.
. Are there any outstanding discrepancies on this project? Yes 'tEl- No 0
. If yes, see attached Summary Sheet.
. ' '
To the best of our knowledge, work inspec.ted was done in accordance with the approved plans, specifications'and
applicable workmanship provisions of the tIBCt except as noted above,
Signed: ~ /;t... :". Date:
Print Full Name: ~ ~
.
(~ Pc. F
,
1-(0- ~7
7"1 ,)(
I.D, Number:
(Whilf! copy en BraWl/netrtec file, Blut copy CQ General Conrraclor,)
rrm\,p\l~ill$p,4 1/2S/9:i
P,::l/'::!
'97 06:02AM BRAUN INTERTEC BLDG2
e
AU H"M
JNTERTEC
Report Number:
Project Name:
Project Address:
Client:
Weather:
e
;;)-
Page -L of
SpeciallDsp<<tor Dally Report
City of frt ~o r- L 4. b..
S+rw..c..+(.....I~{ S~ -#" (
~,./c.. M"t' o/,.+t' C t......., L
I b7oS'" ~r~,l)'a Tor.
tJf!64 (!,...~+~,)hr;", ~.
.)UMII4.j
Date of This Report: 7 -- /6- '7 7
Project No.: $O])/(- '7 7-/69 C.
Client Project No,:
Temperature:
7~CF
Inspection Coverage:
o Masonry 0 Rebar Placement 0 Foundations
.. Welding 0 Concrete Placement 0 Fireproofing
.. Bolting 0 Tendon Placement 0 Other
Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No 0
Type of Inspection:
o Continuous
~ Periodic
Description and location ~)f work completed:
I&D~ t:;"_;'j
~ " ~e:....Jl ~ ~ I-fe./ ('c__ee..~~.r
CD ''''-Ho.... C.:o-+"'c:;oo I A- 3 ~S"
I} --(;.~ (-? -Q~ur./d'-
a.> be...... ..n, ORt2N'J ,Pt.-V< ~/k/- "'-'!!'Q., '" 4 ~,~,"...y, 6'-* t.Ao/&
'$/3fi'o t....... C ~ ~ ~ 7' ,,,-J. I" r, J. _ ,(.l'!, ~ .. ..t:_l!JP4U......
" ' /
(3) .6dr )6151- ./J~ ~a A-(}.d' (- 7 -a~~."./.;~
@ "7j.~ s~d eo Iu......" ~$I!. JeJJf..e. ~ k.,;c+, ./~9L ~/Ae.,.c ~M
I '"
4~ fCrf14.J'.. W I( /cftUU'" 5'tT:.r7 ./'r~~ J dek.:l If; (7hT~ C - E ~ 3 --<;;
- a{"~~.
~ limo "-seO f~tl ~~o.... u.Jt...tle.d' c~Hcf,.Iec..l~ hJ!'.o!:l"- CD...""t'.rJ.'o.....r
. ~ (;. ~ "J. r 'I (('~r'f)
~ ~ b~t:i...... ~ CO(",""""Ioo. Ca^Jf_~.U... 12+ tt~'S d"'J' d~'/r J ~ V-s 0(-
v.r-H---~...'(.. .:1LCC"~ 4!'- ~ AtJl' O{ /-/99,( jl?~.(~ ~ ~,' 6, 01.. s--I....-I.'t. r-k<4r.;.~
,
. Are there any discrepancies noted from this day's observations? Yes e No 0 r'4e- I:(.. 7
. A.re there any outstanding discrepancies on this project? Yes 0 No 0
. If yes, see attached Summary Sheet.
To the best of our knowledge, work inspected was done in accordance wilh the approved plans. specifications and
applicable "o'~VislODS of die UBC. """"!'l as noted above.
Signed: ~ Vr,J..- Date: 7-/6''''7/
Print Fun Name: L6-k t4J l.D. Number: /696;::-
(White copy tQ Braun Intenec fiLe, Blue copy to General Contracror,)
a"nn"'.Io,~ill.p.4 I nS/95
RAUNS~
INTERTEC
'97 06:02AM BRAUN INTERTEC BLDG2
e
P.4/9
Continuation of
Special Inspector Daily Report
e
City of
Pr: r.r ~k-L
Page
J- of J-
Report Number:
~I-/'""'-c./-"""'c.r c;;: ~td --1:t- I
Date of This Report: 7-/6 - e;' :J
Project No,: Fo1J)c-9 7 - loC;C
Project Name: "~k. If/,'colfef C!.k.._~
(Note: Thi,)' is a continuation of a report. The first page of this report has information which should not be
separated fn.>m this conlinuali,m,)
d-'l r:.r",.r o-h,! /Sea<<... ,.}a (( ~...../ +~~ m€.r {k6 Ki-
9roT:J~ -J ./;/Ce[' vJefch pr+- de.-~"/..r I" .), 3... '(/tF-;J-
Ir~~ f2 c., 3.... S- at"tL pnt'5._-J.~ 6!J-f'f.e;f~ ~ ~.. '!':Ut.~.{c..'G...
r€~ei."":.,, ~.5 Q.I'~ <"-. .f~C~fs 0+ <~'.,..
(j) 6~4"" --tb ~.",,(~, D~~ @ ti41. C. J- V Je.k:r s- /3.f'1'
~ / r ,.
or~t;~..({'7 cL 11101" t&..Je. Ir...-Ph+1 6tzar.......~ ~ -fLsL<le:k.,l!.
, / ./ f
I.!!Jt JA1Ar Fe Ca..t:'(c. oS/';.' / /).,...., If...-..... ;- ~rsc C ('0 '1Jt,J-t,:"<t,J t:;.,:? ....i2W"r t..Jd ~
./
flfJ.f"r;e~ at +~ C.Opf~-kD", Hrl r~s"...,).,j -u:'4+ '-'- 41.\/1 ~kfi.. q
,
))'+~ 111'&.+ +t:. IS '~R.r~ +I.R.... Co~"e.l'"..ffl., 5" .
To the best of our knowledge, work inspected was done in accordance with the approved plans. specifications and
applicable wD~vi'i""" of th. UBC, .'''''p' as 0010d abov..
Signed: ~ Date: 7,-(6-'77
Print Full Name: (4-. ~ I.O, Number: "-7 0 ~ b r
.
(While copy to Braunlnrutec file. Blue cOJly to General Conrracror.)
fnn\l;pt:dnlip.422 4124/96
)
P.5/9
'97 06:03AM BRAUN INTERTEC BLDG2
e
AUN'~
INTERTEC
Report Number:
Project Name:
Project Address:
Client:
Weather:
e
I
(
of
Special Ins~tor Daily Report
City of t"Dr- LAbc
S..fr~&"'4 ( r.fee/ -:#=,;J..
?4r Ie. N"t!o/e?'T (',1".'e
,
I ~ 70 5"" l7-eH'?c'/"'1 7F.
t..J~/:rj, Co "r-f.t.-:~.,; ~
t1t1u- C'a.!'"
Page
Date of This Report: ? - ;; s - 9 7
ProjeCt No-: 9-~ bx-- '77- /o9c.
Client Project No.:
Temperature:
71) <Dr
Inspection Coverage:
o Masonry 0 Rebar Placement 0 Foundations
... Welding 0 Concrete Placement 0 Fireproofing
o Bolting 0 Tendon Placement 0 Other
Did the architect or engineer authorize changes to city approved plans? Yes 0 (Listed Below) No 0
Type of Inspection:
o Continuous
fi Periodic
Description and location of work completed: Roo.t' rk-A--' :/ A - C IS- f - 7
([) ra'a -+ clec:.- G::. 1...JlI..I ds ee.."/ ~I'ck 10f .f'asf.....e.rr - Q t'c.--y:'-'-{' '-' ,'./-l.
(
*~)ct!.l!f1I-.ro", fa'+- dt'~.~ t1hcl{ fD~/R..p) t...J4.'c:.( relf"wTY'oC- tJ'l..h a.f- e(te~
dee-.,t ./'ltA./~ ~r {'f."'v-~&rJ (".../-r2e.( ,d,rk l~--I "h-HL j 0..... '- 'Qe.+ /0;,.....
r:J ........-.:.~"'" ""') t'_1o "...,f:.-{..O....~ ~~ Qr-c~j.,,:.!. fL ,-A/ J ~ f.~,
CT.l c/w..r J1--:t ../s.ae~ t-J..I( ~'7 .@-h..k sled ",,/..I C>>,....ed....J
c- F:, 'S-' -QCC~~~
f) ~ f fIt:;.*- -At. *-'.e. r~ ~, (J'01LS >>f~. J-' fk-r d~1 I t/~ f"o -- ac:c.~~.
CO~,f r-vr,...(.- 0I.""ft.. ~-. ~ (.. -It...!..r;.. ~~ t:rJrt~#ot. /llru~J:6 ,,,.-It!A Po ear
Lis[ testS performed: t,flNL ]) ~ ~ 1-" - c:::i ~co/~ c...- .
(1) bar J"":c. f- ~ itD&/ot.... k"r.~4,,- A 4.r ,A:,.(j r ~ d~ 1/ ~/j~ crl-
1- " '-f .
1.)..1... f C <.' P \ ~ ,( I ~ /"39'0 ~/ 6'~ ~ r 3 -" a 1.\hl2- F fib J.. GlJ~pl6e-." deJ..e-
I '
. Are there any discrepancies noted from this day's observations'? Yes ID No 0 i+-e--. I ~ ;?
. Are there any outstanding discrepancies on this project? Yes 0 No 0
. if yes, see attached Summary Sheet.
To the best of OUt knowledge, work inspected was done in accordance with the approved plans. specifications and
applicable workmanship provisions of the UBC, except as notecr above.
Signed: -? ~, Date: ,?-:;. r..e; J
Print Full Name: ~ ';J 1.0. Number: -;?c 96 r
(While copy to Braun. Intertec file, Blue copy to General Contractor.)
rr...I.p-wiJ\Jlfl,4 1125/95
AU NiW
INTERTEC
'97 06:03AM BRAUN INTERTEC BLDG2
e
P.6/9
e
Speda1lDspedor Daily Report
City of If.,', r lA. tt..
Page
(
of ~
Repon Number:
Project Name:
Project Address:
Client:
Weather:
S" + (lA..e -ft..u.a.( rJ"" ( :It.3-
1A." ~ AI~GD II. ~ c I;i't I c...
I"?() '5 ~6~ 4;.(;,,- 7f'.
~rt. f'a"",r+r~-f:"...
ft'..._ .. "
Date of This Report: 7 - 3 0 - q 7
Project NQ_: ~Di}K-q 7' f1:lcrC
Client Project No.:
Temperature:
,/0 lit:
Type of Inspection:
o Continuous
. Periodic
Inspection Coverage:
o Masonry
. Welding
o Boltin
Rebar Placement
CQncrete Placement
o Foundations
o Fireproofing
Tendon Placement 0 Other
Yes 0 (Listed Below) No 0
Description and location of wock completed:
0; ~rj~ ~/~ .4- (;-. 1-7
;; ~",k .{" ~!<I^ r .f ""'f~ ""'
~ of- ~ f ~ :.:Lv:!. (i4-"~ o.r
-; oj V3~ tQt'"~~..I.r.( '-
,
K~~' h-a- ,rAj
J'l6"..) I' b.....,. ~ .t ~I;-.J QI'~~ ~
C tNLc,e"../-L. b ~G./c:. p. '0'" ~ /../tZ4I" ~c~ ~ ~ ~. ~ro .....c
~ h~,'/~~ ,4...t:/ /",
nd~
{
cI~ -Ie:.. · (
List testS performed:
.
Are there any discrepancies noted from this day's observations? Yes t:r
Are there any outstandinl discrepancies on this project? Ye.Ii!S-
If yes, see attached Summary Sheet.
No "8-
No 0
.
.
To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and
applicable workman&hip pro\lisions of the UBC, except a." noted above.
~~ Date: .7-JD-e'17
~ ~ r l.O. Number: 70 ?-6 r
Signed:
Print Full Name:
(While copy to Braun l'fIIertec file, Blue copy to General Contractor.)
frnl\.I)oi<.:ill~,4 1125/95
'97 06:03AM BRAUN INTERTEC BLDG2
e
P.7/9
e
RAUN'W
INTERTEC
SpeclallDspector Daily Report
City of !r",r lAta
Page
(
of
L
Type of Inspection:
o Continuous
tJ Periodic
S -/rIA ~~,._I r-..Jt,iI!. (. if
1& r-Ir N #t: ,.,tL .,.. ~ /, '" .' c:.
I~ 76 ~ Fi-ea-A:./..,. ...,...~ ~(/
I~ If'/' t::o.. r./-
5&__,
Inspection Coverage:
o Masonry
If Welding
o Boltin
Date of This Report: ?~ S- ~ 7 7
Project No.: BtJ D ~ - 97- /0 q c
Report Number:
Project Name:
Project Address:
Client:
Weather:
Client Project No.:
Temperature:
7~Gr
Rebar Placement
Concrete Placement
o FoundatioDS
o Fireproofing
Tendon Placement 0 Other
Yes 0 (Listed Below) No 0
Description and location of work completed: Rflo+ .{;6.7
CD ~4'- I.~...IJ. ~ J,~4. .k"C~ 7J11L,r ~/h ~~~I
J' ,
;;'/3/'"0 @ I.~ p". 'J - S- - a C&~ 4L-
@ 6e1Z~ ~'IC~/fW1. (w '" )t,;) C;) a+ 1"tf6~ ~.~. t\..4L ~ )-If
m>> k.J :"" ~ ,J' ~ ~ ( ,.,J..... I .
-rlL. hrU~4A Ltt:4J J..1U1..... ~i'~J wnJe:~~5 r" 4A~~ ~.,.I-~ e-.d
4-L t:J4!hJ,/C-&4 l/ ,~4r .Q.~ ~ c:......# 'IL.d., fFlfffe ~ e.....t /IlJ,J
-~ .;t... ,.,!....d' ~ ,'I.L;~r "I &f!&"'/ r".Lek 'I' ~/1.f'O.
_ _ rD~.~ c ~#J.IIIA..... A.tIIU bla .A. // I!~ tfl;~ .(.j).... ,~ J.. t:.IJII!..~ ~.".. ,,4; ....~r
, /
h.ilil'8MlI,,!rft'lt~eQ.: q., I LJlb... -rZL. J/t,,f~ 4.d Jar ~eJH ",It ~11.4~e..'-'.:I_
,
~it(d,~ &. -F- ~4 ,t'k:78.r f r.il4~ A..~..~ ~.d...f)-Ia", t!R C."M..,,- D(~
f
l(~,2,~ ~ /1~~ we//p/ 4'" ~-K ,.."tr ^.f -r4- ~~-- ,~,
. Are there any discrepancies noted from this day's observations? Yes 0 No ~
. Are there any ourstanding discrepancies on this project? Yes 0 No ~
. If yes, see attached Summary Sheet.
To the best of our knowledge, work inspected was done in a~tdance with the approved plans, specifications and
applicable workmanahip provisions of the UBe, except as noted above.
Signed: C- ~ a.... Date:
Print Full Name: ~ d
~T""9/
I.D, Number: "7 Cl ~, .p
(Whlre copy to Braun Incertec flle. Blue copy ro General Contractor.)
l'rm\"P.dn"P.4 1 f2S/9S
RAUNJ~
INTERTEC
'97 06:04AM BRAUN INTERTEC BLDG2
e
P.8/9
Continuation of
Speclallnspector Daily Report
.
City of Et..",.
l~~
Page
;}- of :L
Project Name:
5-1-rU4(;..~_f )~r..u. 'f
Per' k"t.o(fI.,f C.(.'k.I~
Date of This Report: f'- s-- '9 ?
Project No,: (3 lJ b X-q 7 .../ at:{ C
Report Number:
(Note: This is a continuation of a report. The first page of rhis report has information which should not he
separated from this continuation,)
ldJ Cr:I1t.:tA..cfl, .' ~~~ ~~~ ~M"o!l;..-J4.~<-~Cl..... d ~ ~d ~f5""P~"D..s
~ 1:.,-.. ~ ev,jI~l. (.. .11'16 rp<-I'~F~~ l_d-'CG -6.-0.... -.Jc..1 ~M.
To the best of our knowledge, work inspected was done in accordance with the approved plans. specifications and
applicable workmanship provisions of the UBC, except as noted abo\le,
ID, Number:
r:.. S-.. <i ..,
709(, r
Signed: , -:e ~
,
Print Full Name; LIWI lAs
Date;
(White copy to Braun lntertecfile. Blue copy to General ContructOl:)
frm\specinsp.422 4124196
'97 06:04RM BRRUN INTERTEC BLDG2
e .
Special Inspector DaDy :Report
Ciry of ..J:bLl a.~
Repon Number:
Project Name:
Project Address:
Client:
Weat:her:
P.9/9
Page -.L of (
~-k-IIJ.f-r.....rrN( s- kJ-:II- S-
~,.,=- Me", Ih./- ct",~\,-
t, 7r:J>- lYe-let..., i"J'r~,~ I
(A..J() f(' t. (l'D ^5 t
5"'.... -- '1
Date of This Report: 5' - ~ -q 7
Project No.: l307J~- 97- 1'0 q C
Client Project No.:
Temperature:
~ 70.p
Inspection Coverage:
o Masonry 0 Rebar Placement 0 Foundations
e Welding 0 Concrete Placement 0 Fireproofing
o Bolting 0 Tendon Placement 0 Other
Did the architect or en ineer authorize chan es to cit roved lans"? Yes 0 (Listed Below) No 0
Description and location of work complet~ C{,~sIt,r., Q_.."..l ~.~e.;., t.Ua{( 4).n_.~
/
I~lf lx~ Sle..[ +.....rJ" /!/Z-f ..~d f ;:!r .Jcr#,JJ ,,"O~~<-~.~~
1) _ _ t!~ _ .6.1' "'An,,;? lk.h.'!r "" t c (7/('/ 9:7.,. ~~ J
r
~ 7;~5 ./},4_''''':1 ?t'l Jcrew Co...-e.~~'P...,j ~J. drc~~.J ~.
b) -tr~ss 10 +"{,.e S"~I 6~~ /llfe~ r-JlIa /AJ~ ~-k<:! ~ 6A.
rl! . L ..{6I:L"- tfI-f. J\c..... ~ ~ ~
Type of Inspection:
o Continuous
E- Periodic
...f-/Q ~ ~ W<.r clr./ljJ2.c:I oft:. -rf....- ~ ~G...f..~.t' /co.....,J.~.O';t.5"
~ ~~ ~\k. c,)L.-../<. ~_~+-~kr,
,
{l~ ~tAdu- L...J.'(( if~ 10 {'~r)' -14. L-.JIt//s ~ ".bft/!.;A!. t:.r~(~ r-
List tests performed: /Qca, .{:."o ""- f' <1b 52 ;.......Je kI r.t! Lk:;.Y'e-~
f
s-kf d-
(J/ \Q"...e.
. Are there any discrepancies noted from this day's observations? Yg,S
. Are there any outStanding disctepancies on this project? Yes lzl
. If yes, see attached Summary Sheet, r-'~.f-+--
To the best of our knowledge. work inspected was done in accordance with the approved plans. specifications and
applicable wor~ioDs of tho use, Ol<eopt .. IIOtid abov..
Signed: ~ ~ Date: q-.;J-- ~ '/
Print Full Name: L-t!fI<t. ~.s I.D, Number: ~?~ P'
No 0
No 0 1~~~cI r ., /'
~ 7Dd~..r
(While copy TO Braun 111lertec Jile, Blue CQPY ro ~Mral Ct:mzracror.)
fnll\stI""'nlq'l.4 112.'i19S
BRAUN~ ·
INTERTEC
en Intertec corporation
6950 West 146th Street, Suite 131
Apple Vo""", Minnesota 55124-8520
612-431-4.493 Fox: 431-3084
Engineers and Scientis/$ Serving
the Built and Natural Environmen~
Sieve Analysis of Fme and Coarse Aggregates
ASTM C 136-84a
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Nonnandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project: BODX-97-109C
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Date: September 16, 1997
Field Data
Sample No.:
Sampled By:
Date Sampled:
Date Received:
Date Tested:
Classification:
Sample Location:
G-1
RDA
9/10/97
9/10/97
9/12/97
Class 5, crushed limestone
Intersection of North Finger road and entrance
Laboratory Results - ASTM C 117, C 136
Sieve Size
% Passin~
Specifications
1"
3/4"
3/8"
#4
#10
1/40
#200
100
99
78
45
35
23
9.6
100
90-100
50-90
35-80
20-65
10-35
3-10
Remarks:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
~lr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
~
J es M. Samuelson
ranch Manager
?7t09.:'sa,l
.
BRAUN'.-
INTERTEC
Mortar For Unit Masonry
ASTM C 27o-91a
Date: August 1, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Sample Data
Sample Number: 8001
Sample LocationILot: Not Given
Cement Type: Not Given
Mortar Type: Type S
Producer: Not Given
. Braun Intenee Corporation
6801 Washington Avenue South
P.O. Box 39108
Minneapolis, Minnesota 55439-0108
612.941,5600 Fax: 941.4151
Engineers and Scientists Serving
the Built and Natural Environments'
Project: BODX-97-109C
Project Description:
Health Systems MN Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Conditions
Ambient Temperature:
Water Temperature:
Humidity:
Date Cast:
Time Cast:
730F
700F
52%
6/26/97
2:00 p.m.
Laboratory Data
Water Retention
~
- Initial Flow: 112 110:i:5
- Final Flow: 95
- Retention (% of
Initial Flow): 84.8 70%, min.
Air Content (%): 3.8 12%, max.
Compressive Strength
-L .l... l Ave.
- 7 day (psi): 2490 2540 2640 2560
-28 day (psi): 3150 3010 3130 3100
Proportions
Mortar Type:
Parts Per Volume:
Actual Weights:
Portland Cement =
Hydrated Lime =
Sand, Damp =
Water =
~
1800 psi,min.
Type S
1:1h:41h
470.0
100.0
1800.0
355.0
Remarks:
The mortar teSted above meets 28~ay property specifications for a Type S,
cement-lime mortar at 28 days.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham AssociateS
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun InterteC (Apple Valley)
&i~
Senior Engineer
paa\bodx\testa\9710ge,S
BRAUNSMe
INTERTEC
e Braun Intertec Corporation
6801 Washington Avenue South
P.O. Box 39108
Minneapolis, Minnesota 55439.0' 08
612,941,5600 Fax: 941,4151
Constructing and Testing Masonry Prisms
Used to Determine Compliance with Specified
Compressive Strength of Masonry
ASTM C 1314-95
Engineers and Scientists Serving
the Built and Natural Environments'
Date: August 1, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Specimen Description
Block Type: 8" Plain Stretcher
Nominal Size: 8" x 8" x 16"
Supplier: Anchor Block
Mortar Type: Type S
Location: Above Grade Wall
Obtained By: Contractor
Date Prepared: 6/17/97
Ungronted Prisms
Sample Dimensions
Specimen Number:
Date Received:
Date Tested:
Width (in):
Length (in):
Capped Height (in):
HeightfThiclmess Ratio:
Mortar Joint Thickness (in):
Test Results
Test Age (days):
Maximum Load (lbs):
Test Area (sq in):
Masonry Prism Strength (psi):
Correction Factor:
Corrected Net Strength (psi):
Compressive Strength of Masonry (psi):
Specified Stren2th-f'... (psi):
2A 2B 2C
6/19/97 6/19/97 6/19/97
6/24/97 7/15/97 7/15/97
7,68 7,64 7.67
15,64 15.65 15.66
15.88 15.80 15.98
2.07 2.07 2.08
29/32 30/64 34/64
7 28 28
150,570 194,490 202,410
60,83 60.83 60.83
2480 3200 3330
1.01 1.01 1.01
2500 3230 3360
3300
1350
Remarks:
The prisms tested above meet the project specified minimum 28-day masonry
compressive strength (i' J at 28 days.
C: . Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete and Masonry
Mr. Mark Cackosld; Dunham Associates
Mr . Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
pu\bodx\teata\97109c.l
~::\~,.
Steven M. Talafous, PE
Senior Engineer
BRAUNSM-
INTERTEC
_raun Intertec Corporation
6950 West .1 46th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-431M93 Fax: .431-308.4
Compressive Test of Concrete Cylinder
Test Method: ASrM C 39,6" x U" Cyllnder
Engineers and Scientists Serving
the Built and Natural Env;ronmen~
Date:
July 25, 1997
Project Number.
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97~8
Prior Lake, Minnesota
FIELD DATA:
Set Numbu: 5
Date Cast: 6/27/97
Time Cast: 1:15 p.m.
Measured Slump: 2.
Measured Air: not taken
Concrete Temperature: 850F
Air Temperature: 870F
Cylinder Cast By: DDM
Liquid Added at Site: none
Sample Location: Two exterior piers south of Grid line and footings, Grid A-D, 6-7
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 369
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
SA 6/30 7n 3 3 6 110060 28.29 3890 B
5B 6/30 7/25 3 25 28 135190 28.29 4780 L
5C 6/30 7/25 3 25 28 131870 28.29 4660 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The ~y test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the requited design strength.
c:
Mr. Scott steffen; Welsh Field Office
Mr. Dave Vost; Gresser Coaaete It Masoary
Mr. Mark {YkosJci; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
Braun IDtertec Corporation
97109c\coac.5
06/16/97
14: 57
s
.
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1..611
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BWBR ARCHITECTS
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BRAUNSMe
'NTE RTEC
aun Intenee Corporation
6950 West 1.46th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-431-4493 Fax: 431-3084
Compressive Test of Concrete Cylinder
Test Method: ASI'M C 39, 6" xU" Cylinder
Engineers and Scientists Serving
the Built and Natural Environments
Date:
July 21, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 4
Date Cast: 6/20/97
Time Cast: 2:00 p.m.
Measured Slump: 3-
Measured Air: not taken
Concrete Temperature: 76 OF
Air Temperature: 810F
Cylinder Cast By: DTY
Liquid Added at Site: 6 gallons of water to 8 cubic yards
Sample Location: Footing Pads: Along Grids C, 3 to 4
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 566/28741
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
4A 6/23 6/27 3 4 7 94360 28.29 3340 B
4B 6/23 7/18 3 25 28 116950 28.29 4130 L
4C 6/23 7/18 3 25 28 119940 28.29 4240 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97t09c\concA
BRAUNSMe
lNTERTEC
_raun Intertec Corporation
6950 West 1.46th Street, Suite 131
Apple Valley, Minnesota 5512.4,8520
612-431-4493 Fax: 431-3084
Compressive Test of Concrete Cylinder
Test Method: ASI'M C 39, 6" x 12" Cylinder
Engineers and Scientists Serving
the Buill and Natural Environments
Date:
July 21, 1997
Project Number:
BODX-97-109C
Client:
Mr, Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Canst. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 5
Date Cast: 6/27/97
Time Cast: 1:15 p.m.
Measured Slump: 2.
Measured Air: not taken
Concrete Temperature: 850F
Air Temperature: 870P
Cylinder Cast By: DDM
Liquid Added at Site: none
Sample Location: Two exterior piers south of Grid line and footings, Grid A-D, 6-7
DESIGN DATA:
Mix Design: Mix #1
Supplier: MobiIcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 369
Cylinders Per Set: 4
Field Notes:
Sample
No.
Date
Recvd
Test
Date
Field
Cure
Lab
Cure
Test
Age
Max Load
(pounds)
Cyl Area
(sq in)
Compressive
Strength, psi
Remarks
Code(s)
5A
6/30
7/7
3
3
6
110060
28.29
3890
B
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 6~y test result projects that the specified strength will likely be met at the 28~y age according to
a typical strength age relationship.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark: Cackoski; Dunham Associates
Mr. Paul Baumgarner, City of Prior Lake
971 09c \c;OIlC.5
-
BRAUNSM.:;
INTERTEC
Constructing and Testing Masonry Prisms
Used to Determine Compliance with Specified
Compressive Strength of Masonry
ASTM C 1314-95
.t..
... Braun 1nhM1ec Corporation
6801 Washington Avenue South
P,Q. Box 39108
Minneapolis, Minnesota 55439.0108
612,941,5600 Fax: 941-4151
Engineers and Scientists Serving
the Built and Natural Environments'"
Project: BODX-97-109C
Date: July 14, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Ungrouted Prisms
Specimen Description
Block Type: 16" Plain Stretcher
Nominal Size: 16" x 8" x 16"
Supplier: Anchor Block
Mortar Type: Type S
Location: Below Grade Foundation Wall
Obtained By: Contractor
Date Prepared: 6/10/97
Sample Dimensions
Specimen Number:
Date Received:
Date Tested:
Width (in):
Length (in):
Capped Height (in):
Height/Thiclmess Ratio:
Mortar Joint Thickness (in):
lA
6/13/97
6/17/97
*
*
*
*
*
Test Results
Test Age (days):
Maximum Load (lbs):
Test Area (sq in):
Masonry Prism Strength (psi):
Correction Factor:
Corrected Net Strength (psi):
Compressive Strength of Masonry (psi):
Specified Strength-f'm (psi):
7
*
*
*
*
*
1790
1350
IB lC
6/13/97 6/13/97
7/8/97 7/8/97
15,64 15.63
15.60 15,60
23,64 24.24
1.51 1.55
30/64 31/64
28 28
210,150 193,810
97,90 97.90
2147 1980
0.86 0.87
1850 1720
Remarks:
The prisms tested above meet or exceed the project specified minimum 28-day
masonry compressive strength (f' oJ at 28 days,
Note: .
* Broke prior to testing.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
LU~.w ~r)
Peter A. Rauch ~
Materials Scientist
paa\bodx\tests\9710ge.3
BRAUNSMe
INTERTEC
Constructing and Testing Masonry Prisms
Used to Determine Compliance with Specified
Compressive Strength of Masonry
ASTM C 1314-95
Date: July 9, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Specimen Description
Block Type: 8" Plain Stretcher
Nominal Size: 8" x 8" x 16"
Supplier: Anchor Block
Mortar Type: Type S
Location: Above Grade Wall
Obtained By: Contractor
Date Prepared: 6/17/97
Sample Dimensions
Specimen Number:
Date Received:
Date Tested:
Width (in):
Length (in):
Capped Height (in):
HeightfThickness Ratio:
Mortar Joint Thickness (in):
Test Results
Test Age (days):
Maximum Load (lbs):
Test Area (sq in):
Masonry Prism Strength (psi):
Correction Factor:
Corrected Net Strength (psi):
Compressive Strength of Masonry (psi):
Specified Strength-f'm (psi):
~un 1ntw1ec Corporation
6801 Washington Avenue South
P.O. Box 39108
Minneapolis, Minnesoto 55439-0108
612.941.5600 Fox: 941-.4151
Engineers and Scientists Serving
the Built and Natural Environmen~
Project: BODX-97-109C
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Ungrouted Prisms
2A
6/19/97
6/24/97
7.68
15.64
15.88
2.07
29/32
7
150,570
60.83
2475
1.01
2500
2500
1350
Remarks:
The prism tested above meets the project specified minimum 28-day masonry
compressive strength (I'..) at 7 days.
Mt ~ Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
~:
paa\bodx\IeIltl\971 09c.1
~UL
Peter A. Rauch
Materials Scientist
BRAUNSMe
I NTE RTEC
eBraun Intwrtec Corporation
6801 Washington Avenue South
P.O. Box 39108
Minneapolis, Minnesota 55439'() 108
612.941.5600 Fox: 941-4151
Engineers and Scientists Serving
the Built and Natural Enviranment~
Sampling and Testing Concrete Masonry Units
Test Method ASTM C 140-91
(For Net Area Determination)
Date: July 9, 1997
Project: BODX-97-109C
Client:
Mr. Greg Voss
Welsh Construction Company
8200 Normandale Boulevard, Suite 200
Minneapolis, MN 55437-1060
Project Description:
Health Systems Minnesota Prior Lake Clinic
Prior Lake, Minnesota
Client Project Number 97-068
Producer: Anchor Block
Unit: 8" Plain Stretcher
Date Submitted: 6/19/97
1. Dimensional Analysis
Unit Number
Item lA Average Specifications
Length, in. 15 21/32 15 21/32 1:4132' from IS 20/32'
Width, in. 7 21/32 7 21/32 1:4/32" from 7 20132'
Height, in. 7 19/32 7 19/32 1:4132" from 7 20132'
Gross Area, sq. in. 119.73 119.73
Net Area, sq. in. 60.83 60.83
Remarks:
The test result above is for net area determination for masonry prism compressive
strength testing only.
c: Mr, Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete and Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgartner; City of Prior Lake
Mr. Jim Samuelson; Braun Intertec (Apple Valley)
B~,crcn
Peter A. Rauch
Materials Scientist
paa\bodx\lestJ\971 09c.2
BRAUN~.
INTERTEC
e
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39, 6" x 12" Cylinder
Date:
July 9, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co, 1/97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 2
Date Cast: 6/9/97
Time Cast: 1:45 p.m.
Measured Slump: 4"
Measured Air: not taken
Concrete Temperature: 820F
Air Temperature: 850F
Cylinder Cast By: DTY
Liquid Added at Site: 5 gallons to 10 cubic yards
Sample Location: Footing: Grids C to F, 1 to 2
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 496
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
2A 6/10 6/16 1 6 7 102500 28.30 3620 B
2B 6/10 7/7 1 27 28 117410 28.27 4150 L
2C 6/10 7/7 1 27 28 122000 28.27 4320 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c:
Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark: Cackoski; Dunham Associates
~r. Paul Baumgarner. City of Prior Lake
~
I M. Samuelson
ranch Manager
97109c\conc,2
BRAUN~.
tNTERTEC
e
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39,611 x lr Cylinder
Date:
July 9, 1997
Project Number.
BODX-97-109C
Client:
Mr, Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. 1/97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 3
Date Cast: 6/10/97
Time Cast: 1:25 p.m.
Measured Slump: 3'jz .
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 810F
Cylinder Cast By: DTY
Liquid Added at Site: 5 gallons to 10 cubic yards
Sample Location: Footing: Grids D to F,5, 4 to 6
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 496
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
3A 6/11 6/17 1 6 7 75900 28.30 2680 B
3B 6/11 7/8 1 27 28 118990 28.28 4210 L
3C 6/11 7/8 1 27 28 119590 28.28 4230 L
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7~y test result projects that the specified strength will likely be met at the 28~y age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner, City of Prior Lake
971 09c\com: ,.)
BRAUNSMe
lNTERTEC
e
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39, 6" x 12" Cylinder
Date:
July 9, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior L3ke Clinic
Welsh Const. Co, #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 5
Date Cast: 6/27/97
Time Cast: 1:15 p.m.
Measured Slump: 2.
Measured Air: not taken
Concrete Temperature: 850F
Air Temperature: 870F
Cylinder Cast By: DDM
Liquid Added at Site: none
Sample Location: Two exterior piers south of Grid line and footings, Grid A-D, 6-7
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 369
Cylinders Per Set: 4
Field Notes:
Sample
No.
Date
Recvd
Test
Date
Field
Cure
Lab
Cure
Test
Age
Max Load
(pounds)
Cyl Area
(sq in)
Compressive
Strength, psi
Remarks
Code(s)
5A
6/30
7/37
3
3
6
11 0060
28.29
3890
B
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 6-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham AssociateS
Mr. Paul Baumgarner; City of Prior Lake
97109c\conc,5
BRAUNSMe
lNTERTEC
"un Intertec Corporation
~o West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-431-4493 Fax: 431-3084
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39, 6" x 12" Cylinder
Engineers and Scientists Serving
the Built and Natural Environments3
Date:
July 7, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 1
Date Cast: 6/6/97
Time Cast: 1:35 p.m.
Measured Slump: 31h ·
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 83 of
Cylinder Cast By: DTY
Liquid Added at Site: none
Sample Location: Footing: Grid Line G, 3,5 to 4
DESIGN DAT~
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 617/28037
Cylinders Per Set: 4
Field Notes:
Sample Date Test Field Lab Test Max Load Cyl Area Compressive Remarks
No. Recvd Date Cure Cure Age (pounds) (sq in) Strength, psi Code(s)
lA 6/9 6/13 3 4 7 96500 28.28 3410 B
IB 6/9 7/3 3 24 27 140560 28.29 4970 L
1C 6/9 7/3 3 24 27 135820 28.29 4800 L
Specified Strength at 28 Days (psi):. 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
L: The average 28-day test result meets the required design strength.
c:
Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner, City of Prior Lake
Braun InterteC Corporation
971 09c ICOIIC,I
BRAUNSM e
JNTERTEC
a.un Intertec Corporation
'0 West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-431-4493 Fax: 431-3084
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39, 6" x 12" Cylinder
Engineers and Scientists Serving
fhe Built and Natural Environments"
Date:
June 30, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No,: 566/28741
Cylinders Per Set: 4
FIELD DATA:
Set Number: 4
Date Cast: 6/20/97
Time Cast: 2:00 p.m.
Measured Slump: 3.
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 810F
Cylinder Cast By: DTY
Liquid Added at Site: 6 gallons of water to 8 cubic yards
Sample Location: Footing Pads: Along Grids C, 3 to 4
Field Notes:
Sample
No.
Date
Recvd
Test
Date
Field
Cure
Lab
Cure
Test
Age
Max Load
(pounds)
Cyl Area
(sq in)
Compressive
Strength, psi
Remarks
Code( s)
4A
6/23
6/27
3
4
7
94360
28.29
3340
B
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specitied strength will likely be met at the 28-day age according to
a typical strength age relationship.
c:
Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
Braun Intertec Corporation
97109c\concA
BRAUNSM e
INTERTEC
_un Intertec Corporation
6950 West 146th Street, Suite 131
Apple Valley, Minnesota 55 J 24-8520
612-431-4493 Fax: 431-3084
Engineers and Scientists Serving
the Built and Natural Environments-
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 5
Client:
Mr. Gregory Voss
W~lsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Canst. Co. #97-068
p' Lak M'
Innea o IS, - nor e, Innesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density* Inplace Dry Relative Minimwn
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcO (%) (pcO (%) (%) Comments
18 6/16/97 N P-l: SC 12 117 12 113 96 95 A
19 6/16/97 N P-2: SP-SM 10 112 7 110 98 95 A
20 6/16/97 N P-2: SP-SM 10 112 8 109 97 95 A
\
Key: N
SC =
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
*
Test Test Location Elevation
18 Grid A, 3,5 (Interior wall backtill) 967
19 Grid B.5. 2 (Interior wall backtill) 9671/:
20 Grid F .5, 1 (Interior wall backtill) 967
Elevation Reference:
'f'. Scott Steffen; Welsh Field Oftice
Joe Buche; Belair Excavating
'we Vogt; Gresser Concrete & Masonry
-k Cackoski; Dunham Associates
"1aumgarner; City of Prior Lake
BRAUN'..
INTERTEC
e
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 6
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Canst. Co. #97-068
P' LaIc M'
mnea o IS. - nor e, mnesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density. Inplace Dry Relative Minimwn
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) ( pcf) (%) (pet) (%) (%) Comments
21 6/17/97 N P-l: SC 12 117 12 118 101 100 A
22 6/17/97 N P-4: CL 15 1141h 23 100 87 95 B
23 6/17/97 N P-5: CL 13 119 15 113 95 95 A
24 6/17/97 N P-5: CL 13 119 14 114 96 95 A
\
I Test I Test Location I~nl
21 Franklin Trail, 10'S of MH 1, Sanitary sewer trench
I 22 North entrance road. 110'S of MH 1, sanitary sewer trench 957
23 South oarkin2 lot, 75'N, 50'E of SW corner, borrow area 961
24 South parking lot. IS'S. 70'W of SE corner, borrow area 963
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M. and M.L.D.D. rounded to nearest 0.5
A = Test results comply with speCifications.
B = Test results do not comply with specifications.
Key: N
SC =
*
Elevation Reference:
c: Mr. Scott Steffen~ Welsh Field Oftice
Mr. Joe Buche; Belair Excavating
Mr. Dave Vagt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr, Paul Baumgarner; City of Prior Lake
Braun Intertec Corporation
/
cJ7109~'.~ts.6
BRAUN~.
INTERTEC
e
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 7
Client:
Mr. Gregory VOSS
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 5-437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
P' Lalc M'
mnea )0 IS, ) - nor e, Innesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density* Inplaee Dry Relative Minimwn
ill and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcf) (%) (pet') (%) (%) Comments
25 6/18/97 N P-4: CL 13 119 16 113 95 95 A
26 6/18/97 N P-4: CL 13 119 17 111 93 95 B
27 6/20/97 N P-2: SP-SM 10 112 12 107 95 95 A
28 6/20/97 N P-2: SP-SM 10 112 11 108 96 95 A
Key: N
SC =
*
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= O.M, and M.L.D.D, rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
I Test I Test Location ! Elevation !
25 South parking lot, 20'S, 65'W of SE corner, borrow area
965
26 South parking lot, 85'N. 55'E of SW corner, borrow area 964
27 North entrance road, STA 3+75, water main trench 962
I 28 North entrance road, ST A 3 +00, water main trench 961
i
i
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
Mr. Dave Vagt: Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
\'lr. Paul Baumgarner: City of Prior Lake
Braun Intertec Corporation
es M. Samuelson
ranch Manager
.-!(J9, .:15.7
BRAUN'. ·
INTERTEC
.
Report of Field Compaction Tests
Date:
June 25, 1997
Project: BODX-97-109C
Report: 8
Client:
Mr, Gregory Voss
Welsh Construction Company
8200 Normandale Blvd" Suite 200
M' r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
P' Lak M'
. Innea )0 IS, - nor e, Innesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density. Inplace Dry Relative Minimwn
ID and Moisture* (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcf) (%) (pcf) (%) (%) Comments
29 6/23/97 N P-3: SM 91/2 123 10 123 100 100 A
Key: N
SC =
*
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= Q,M. and M.L.D.D, rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
Test Test Location Elevation
29 North entrance road. ST A 2 + 75. water main trench 964 -
Elevation Reference:
c: Mr, Scott Steffen; Welsh Field Oftice
Mr. Joe Buche; Belair Excavating
Mr. Dave Vogt: Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
~(r, Paul Baumglrner: Citv of Prior lake
Braun Intenec Corporation
\l7109c'.<:15.8
J es M. Samuelson
ranch Manager
BRAUN'. ·
INTERTEC
-
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 25, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classi fication
6/17/97 Test Number
DTY Location Sampled
CL: Lean Clay with Sand, dark brown to gray
P-4
Laboratory Data:
ASTM D:
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
698-91
23%
Procedure:
Prep. Method:
% 3/4"-3/8":
Percent Oversize:
standard B
wet
Date Tested: 6/19, 6/20/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity: 2.65
Maximum Dry Unit Weight, pcf
Optimum Water Content, %
Curve Values
1141h
15
Corrected Values
107
. . . . . .
Ze
S.
~
(
"
,
I I
I I I I
ro Air Voids
115
113
~mMVCur.e
"- III
&
.:c
:II
'3)
~
..
'2
;:l 109
>.
...
Q
G.=2.65
Assumed)
t05
Water Content. %
12
1.+
16
18
20
22
97109c\p-4
BRAUN'" ·
fNTERTEC
.
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 25, 1997
Project: BODX-97-109C
Client:
Mr. Gregory Voss
W~lsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampl~d
Sampled By
Classification
6/17/97 Test Number
DTY Location Sampled
CL: Sandy Lean Clay. brown to dark brown
P-s
Laboratory Data:
ASTM D:
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
698-91
Procedure:
Prep, Method:
% 3/4".3/8":
Percent Oversize:
standard A
wet
Date Tested: 6/19/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity: 2.70
Maximum Dry Unit Weight, pcf
Optimum Water Content, %
Curve Values
119
13
Corrected Values
114
, , , ,
Zero
S,G.
(
/
/
Air Vaids
122
120
~a....,
"- 118
u
c.
:c
:0
'1)
~
-
'=
::J 116
>.
...
0
=2,70
Assumed)
112
'Vater Content, %
8
10
12
14
16
18
97109c\p-S
e
e
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Park Nicollet Clinic, 16705 Franklin Trail Southeast, Prior Lake, Scott
County, Minnesota, Plan No. 973078
Submitted by: Pride Mechanical, Inc., 1600 Broadway Street Northeast, Minneapolis, Minnesota 55413
Ownership: Health System Minnesota, 3800 Park Nicollet Boulevard, St. Louis Park, Minnesota 55416
Date Reviewed: June 25, 1997
Date Received: June 24, 1997, June 2, 1997
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 Pride Mechanical, Incoo
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements
of the Minnesota Plumbing Code. As speCified in Minnesota Rules, part 4715.2830, no plumbing work may be
covered prior to completing the required tests and inspections. Provisions must be made for applying an air
test at the time of the roughing-in inspection as outlined in Minnesota Rules, part 4715,2820, subpart 2, of the
code. A manometer test, as specified in Minnesota Rules, part 4715,2820, subpart 3, is required at the time of
the finished plumbing inspection, It is the responsibility of the contractor/installer to notify the State Health
Department when the installation will be ready for a test and inspection. To schedule inspections, contact the
state plumbing standards representative for your region, or call the metro office at 1-800-926-6216, or Gary .
Topp at 612/215-0841.
REQUIREMENT(S):
1. All plumbing shall be installed in accordance with the Minnesota Plumbing Code (see Minnesota Rules,
part 4715.0320),
2. Materials used for the plumbing system shall comply with the standards set in the Minnesota Plumbing
Code (see Minnesota Rules, part 4715.0420),
3, Water closets in public bathrooms must have elongated bowls with open~front seats. The maximum water
volume per flush of a floor-mounted water closet shall be 1.6 gallons. Water closets shall comply with
American National Standards Institute A112.19.6-1990 (see Minnesota Statutes, Section 326.37,
subpart 2),
4. The horizontal drainage piping must be pitched at a slope which will produce a calculated velocity of not
less than 2 feet per second. Horizontal drains that are less than 3 inches in diameter should be pitched
at a slope of at least 1/4-inch per foot. Horizontal drains and sewers that are 3 inches or larger in
diameter should be pitched at a slope of at least 1/8-inch per foot.
BRAUNSM.
JNTERTEC
Standard Method of
Sampling and Testing Grout (Field)
~M C 1019-89a
Date: June 20, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Field Data
Set Number:
Cast Date:
Mix Design:
Slump (in):
Masonry Units:
· Type =
· Number Used =
Location:
Sample Data
Sample Number:
Average Width (in):
Average Height (in):
Average LIW Ratio:
Correction Factor:
Area (in2):
Laboratory Data
Temperature:
Date Received:
Field Cure (days):
Lab Cure (days):
Test Age (days):
Test Results
Maximum Load (lbs):
Corrected Compressive Strength (psi):
Average Compressive Strength (psi):
Specified Strength (psi):
8001
6/13/97
Co refill
8112"
A..un Intertec Corporation
~o West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-431-4493 Fax: 431-3084
Engineers and Scientists Serving
the Built and Natural Environments"
Project: BODX-97-109C
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake. Minnesota
Coreml: Below grade foundation walls, north/west sides
8001
750F
5/6/96
3
4
7
68170
2410
3000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age
according to a typical strength age relationship.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\groUI.l
ames. uelson
Branch Manager
........-
QL Genel'Gl I
Sheet Me GI
o Corporation
2330 LOUISIANA AVE. NORTH
MINNEAPOLIS, MINNESOTA sA
PHONE 544-8747 FAX 544.65811"
. HEATING . AIR CONDITIONING
. VENTILATION . ENERGY RECOVERY
. GENERAL & SPECIALTY SHEETMETAL FABRICATION
TRANSM I TTAL FORM
Job No:.
DATE' ~ gji ?
SUBJECT: '(Art ~ tf;!~ I JQ f
ATTENTIDNlll, ack,<dJ I~/' / ILl
JOB NO.:
~ ?- 3006
DESCRIPTION
DSHOP DRAWINGS
DFOR APPROVAL
OAPPROVED
DAPPROVED AS NOTED
o NOT APPROVED- RESUBMIT
DFOR YOUR USE
~FOR DISTRIBUTION
~PRINTS
NO. COPIES SHEET NO.
IJ lA. Y'
We will require
approved copies for our use
NO. COPIES SHEET NO.
DESCRIPTION
o OTHER
REMARKS:
BY ~IJAA ~L
-
BRAUNSM.
INTERTEC
e
Compressive Test of Concrete Cylinder
Test Method: ASfM C 39,6" x U" Cylinder
Date:
June 18, 1997
Project Number:
BODX-97-109C
Client:
Mr, Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 3
Date Cast: 6/10/97
Time Cast: 1:25 p,m.
Measured Slump: 3112 .
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 810F
Cylinder Cast By: DTY
Liquid Added at Site: 5 gallons to 10 cubic yards
Sample Location: Footing: Grids D to F.5, 4 to 6
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 496
Cylinders Per Set: 4
Field Notes:
Sample
No.
Date
Recvd
Test
Date
Field
Cure
Lab
Cure
Test
Age
Max Load
(pounds)
Cyl Area
(sq in)
Compressive
Strength, psi
Remarks
Code( s)
~
3A
6/11
6/17
1
6
7
75900
28.30
2680
B
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr, Paul Baumgarner; City of Prior Lake
97109c\cool:.3
BRAUNSM e
INTERTEC
~un Intertec Corporation
'0 West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612431-4493 Fax: 431-3084
Compressive Test of Concrete Cylinder
Test Method: ASI'M C 39, 6" x 12" Cylinder
Engineers and Scientists Serving
the Built and No/ural Environments4'
Date:
June 17, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
FJELD DATA:
Set Number: I
Date Cast: 6/6/97
Time Cast: 1:35 p.m.
Measured Slump: 31h.
Measured Air: not taken
Concrete Temperature: 760F
Air Temperature: 830F
Cylinder Cast By: DTY
Liquid Added at Site: none
Sample Location: Footing: Grid Line G, 3.5 to 4
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 617/28037
Cylinders Per Set: 4
Field Notes:
Sample
No.
Date
Recvd
Test Field
Date Cure
Lab
Cure
Test
Age
Max Load
(pounds)
Cyl Area
(sq in)
Compressive
Strength, psi
Remarks
Code(s)
lA
6/9
6/13 3
4
7
96500
28,28
3410
B
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship,
c: Mr. Scott Steffen; Welsh Field Office
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
97109c\conc.l
BRAUN'. ·
INTERTEC
.
Compressive Test of Concrete Cylinder
Test Method: ASTM C 39, 6" x 12" Cylinder
Date:
June 17, 1997
Project Number:
BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis, MN 55437-1060
Project
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. 1197-068
Prior Lake, Minnesota
FIELD DATA:
Set Number: 2
Date Cast: 6/9/97
Time Cast: 1:45 p.rn,
Measured Slump: 4.
Measured Air: not taken
Concrete Temperature: 820F
Air Temperature: 85"F
Cylinder Cast By: DTY
Liquid Added at Site: 5 gallons to 10 cubic yards
Sample Location: Footing: Grids C to F, 1 to 2
DESIGN DATA:
Mix Design: Mix #1
Supplier: Mobilcrete
Specified Air: none specified
Specified Strength: 4000
Truck or Ticket No.: 496
Cylinders Per Set: 4
Field Notes:
Sample
No.
Date
Recvd
Test
Date
Field
Cure
Lab
Cure
Test
Age
Max Load
(pounds)
Cyl Area
(sq in)
Compressive
Strength, psi
Remarks
Code(s)
2A
6/10
6/16
1
6
7
102500
28.30
3620
B
Specified Strength at 28 Days (psi): 4000
Remarks:
B: The 7-day test result projects that the specified strength will likely be met at the 28-day age according to
a typical strength age relationship.
c:
Mr. Scott Steffen; Welsh Field Office
Mr. Dave Vogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Mr. Paul Baumgarner; City of Prior Lake
Braun Intertec Corporation
J M. Samuelson
ranch Manager
97109c'.conc.:
BRAUN'. ·
INTERTEC
.
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 17, 1997 Project: BODX-97-109C
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
Minneapolis. MN 55437-1060
Desaiption:
ConstnJetion Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classification
6/2/97 Test Number P-l
DTY Location Sampled
SC: Clayey Sand, fine- to medium-grained, brown
Laboratory Data:
ASTM D: 698-91
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
Procedure: standard B
Prep, Method: wet
% 3/4"-3/8":
Percent Oversize:
Date Tested: 6/3/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity:
Maximum Dry Unit Weight. pef
Optimum Water Content, %
Curve Values
117
12
Corrected Values
111
, , . . , , . , , I
119
117
.... 115
g,
-
-;0
'ii
~
-
'c
~ 113
>.
...
0
109
'Nater Content. %
6
8
10
12
14
16
971 09c\p- 1
BRAUN'. ·
INTERTEC
.
Laboratory Compaction Characteristics of Soil (Proctor)
Date: June 17, 1997
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd.. Suite 200
Minneapolis, MN 55437-1060
Project: BODX-97-109C
Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97..()68
Prior Lake, Minnesota
Field Data:
Date Sampled
Sampled By
Classification
6/3/97 Test Number P-2
DTY Location Sampled
SP-SM: Poorly Graded Sand with Silt, fine- to medium-grained, some Gravel, brown
Laboratory Data:
ASTM D: 698-91
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
Procedure: standard B
Prep. Method: wet
% 3/4"-3/8":
Percent Oversize:
Date Tested: 6/6/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity:
Maximum Dry Unit Weight, pef
Optimum Water Content, %
Curve Values
112
10
Corrected Values
109
. . . . , . . . . I I I I I I
,
I
113
112
... 111
g.
:c
:II
'1)
~
-
"2
;:l 110
>.
...
0
108
Water Content. %
8
9
10
11
12
13
97109clp-2
e
e
FAX COVER SHEET
CITY OF PRIOR LAKE
16200 Eagle Creek A venue S. E.
Prior Lake, Minnesota 55372
(612) 447-4230 - Telephone (612) 447-4245 - Fax
DATE: ~ -{ ~-q7 TIME: ~.'OD AM
~ -
TO: ~lW\ lL\jI}~~- FAX #: (P/2 - 222 - S1 ~ I
:::~r)lt;;!~'~~~
SUBJECT: Loe~\.t1'V\. a--l De.s'\jV\o..\.t'tlV\ ~ i-tbtl~\- O_-..<q,
Message:
---
~'v-.
'2.'02,'3 "'-e~ +e> ~
A 9~~ c..\A~~~\'"' 2~
W~- fu~t,,---
V\ u """" \... .. .- Q)+:; (t. "- ~ \0 J -c -6' .
Se.c\,"Ov\, 2'1CO /g, tor H-t
GZfJ
Number of pages sent including this page: '"2--
./-~
.e
APPENDIX CHAPTER 29
1994 UNIFORM BUILDING CODE
Appendix Chapter 29
MINIMUM PLUMBING FIXTURES
NOTE: This is a new appendix chapter,
SECTION 2905 - GENERAL
Each building shall be provided with sanitary facilities, including provisions for accessibility in
accordance with Chapu::t II. PlulIlomg nxtures shaUbeprovided for the type of building occupancy
with the minimum numbers as shown in Table A-29-A, The number of fixturf'~ >lrf' the minimum
required as shown in Table - -A and are assumed to be based on 50 percent ma nt
fema . pant oad factors shall be as shown m able - - .
EXCEPTION: Where circumstances dictate that a different ratio is needed, the adjustment shall be
approved by the building official.
1-494
:?
,
!
,~,~
BWBR ARCHITECTS
FAX 612 222 8961
.---
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rt18= ;
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FAX 612 222 8961
e'-'
BWBR ARCHITECTS
.- --e--
I4l 0011002
....,.
FACSIMILE TRANSMITTAL
B W B R Architects
To : Paul Baumgartner
Company: City of Prior Lake
From: Jim Johnson
Project Name: HSM-Park Nicollet
No. of Pages (including transmittal) : 2
Sent By: JDJ
Fax No.: 447-4245
Corom. No.: 96090.00
Date:: 6/16/97
Time: 2:53 PM
TITLE, DESCRIPTIOlll MESSAGE
Paul,
Here is a revised floor plan indicating additional toilet at waiting area.
Please call as soon as you can if there is a problem with this plan. We
are close to installation of underslab plumbing.
Thanks
Jim Johnson
290-1932
(fax) 222..8961
fRANSIVIITTED AS CHECKED BELOW
o For Approval
o For Your Records
o Copies To :
400 Sibley Stuet Suitt: 500
St. Paul. MinnuoJI 55101
tel: 612 z:n ]701
fall: 612 222 1961
o For Review ~ COJDD:l&:Dt 0 Respoo&C Requested
o As Requested 0 Hardcopy to Follow
P1eue call It.u ,ages ....re not received
FAX 612 222 8961
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.BWBR ARCHITEC1:1i________.
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~001/002
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BWBR AROtITECTS
FAX TRANSMITTAL
To:-:(411J- ~Glf'f {,14er}iF..rr Fax No: "'47- 4z..4 5
Company: 6-rP t!:JF- ~~ ~.E-
From: ~'K - ~~
Project Name: J./~ ~~ ~ommNo: 4~o.~
Plefee- '-If" ~
No. of Pages (including transmittal): :? Date: ~~ ~7
Sent By:
Time:
TITLE / DESCRIPTION / MESSAGE
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TRANSMITTED AS CHECKED BELOW
o For Approval
o For Review & Comment
o As Requested
o For Your Records
o Response Requested
o Hardcopy to Follow
o Copies To:
400 Sibley Street, Suite 500
St. Paul, MN 55101
tel: 612 222 3701
fax: 612 2228961
Pl,as, caU if aU pages we" not ,ec.ill.d
FAX 612 222 8961 ->>WBlL AR~HlTEC!.~
t .994 UNIFORM BUILDING CODE e
~ 002/002
2901-2902.6
Chapter 29
PLUMBING SYSTEMS
SECTION 2901 - PLUMBING CODE
laval. cooling and refrigerat-
:tion 214. Mechanical Code.)
Plumbing systems shull comply with the Plumbing Code.
.ROOM
SECTION 2902 - NUMBER OF FIXTURES
2902.1 General. The number of plumbing fixtures within a building shall not be less than set forth
in Section 2902.
2902.2 Group A Occupancies. In Group A Occupancies at least one lavatory for each two water I
closets for each sex shall be provided at an approved location. At least one drinking fountain shall be
provided at each floor level in an approved location,
EXCEPTION: A drinking foulltain need nOl be provided in a drinking or dining estublishment.
For other requirements on water closets. see Sections 806 and 2903 and Chapter II for access to I
water closets and drinking founlains,
2902,3 Groups B, F, H, M and S Occupancies, In Groups B, F, H. M and S Occupancies, build-
ings or portions thereof where persons are employed shall be provided with at least one watercloset.
Separate facilities shall be provided forench sex when the number of employees exceeds four. Such
toilet facilities shall be located either in such building 01' conveniently in a building adjacent thereto
'on the same property,
lIch water closet rooms in connection with food establishments where food is prepared, stored
or served shall have a nonabsorbent interior finish as specified in Section 807.1, shall have hand-
washing facilities therein or adjacent thereto. ilnd shall be separmed from food preparation or stor-
age rooms as specified in Section 302.6. .
For other requirements on water closets. see Section 2903.
2902.4 Group E Occupancies, W:uer closets shull be provided on the basis of the following ratio
of water closets to the number of students:
:n a refrigeration machinery
ng or located on the property
, horizontal Occupancy sepa-
ructural supporting elements
cy separation. Exits from the
herein shall be used to limit
'alion system, its refrigerant
. Code.
Boys
Elementury Schools .....,....,..........,.. I : 100
Secondary Schools ....................,..,. I: 100
Girls
1:35
1:45
In addition, urinuls shall be provided for boys on the basis of I :30 in elementary and secondary
schools,
There shall be provided at least one lavatory for each two water closets or urinals, and at least one
drinking fountain on each floor for elementary and secondary schools.
For other requirements on water closets, see Sections 806 and 2903.
2902,5 Group I O<<:cupancies. In Group I Occupancies, sanitation facilitie.s for employees shall I
be provided as specified in Section 2902,3. Additional sanitation facililies shall be provided for
other occupants when the facilities for employees are not accessible to such other occupants.
For other requirements on water closets, see Sections 806 and 2903.
2902.6 Group R Occupancies. Buildings classified as Group R Occupancies shall be provided
with at least one water closet. Hotels or subdivisions thereof where both sexes are accommodated
shall contain at least two separate toilet facilities which are conspicuously identified for male or
female use, each of which contains at least one water closet.
1-365
.
BRAUN~.
INTERTEC
Laboratory Compaction Characteristics of Soil (Proctor)
Project: BODX-97-109C
Desaiption:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97~S
Prior Lake. Minnesota
Date: June 13, 1997
Client:
Mr. Gregory VOSS
Welsh Construction Company
8200 Normandale Blvd.. Suite 200
Minneapolis. MN 55437-1060
..... 123
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Water Content, %
Field Data:
Date Sampled
Sampled By
Classification
6/4/97 Test Number P-3
DTY Location Sampled
SM: Silty Sand, with Gravel, fine- to medium-grained, brown
Laboratory Data:
ASTM D:
As Received Water Content:
Sieve Data, % on 3/4":
Size of "Oversize":
698-91
Procedure:
Prep. Method:
% 3/4".3/S":
Percent Oversize:
standard
wet
Date Tested: 6/6/97
Rammer Type: manual
% 3/8" - #4:
Spec. Gravity:
Maximum Dry Unit Weight, pef
Optimum Water Content, %
Curve Values
123
91h
Corrected Values
127
, . , , , , . . , .
125
119
117
15
97109clp-3
5
7
9
11
13
BRAUNSM.
INTERTEC
6-un Intertec Corporation
'0 West 146th Street, Suite 131
Apple Valley, Minnesota 55124-8520
612-431-4493 Fox: 431-3084
Engineers and Scientists Serving
the Built and Natural Environmen~
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 1
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
P' Lalc M'
mnea 10 IS, - nor e, mnesota
Max. Lab Inplace Specified
Soil Optimmn Dry Density. Inplace Dry Relative Minimmn
ill and Moisture. (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pet') (%) (pet') (%) (%) Comments
1 6/2/97 N P-l: SC 12 117 15 111 95 98 B
2 6/2/97 N P-1: SC 12 117 11 117 100 98 A
3 6/2/97 N P-1: SC 12 117 12 117 100 98 A
1A 6/2/97 N P-l: SC 12 117 14 115 98 98 A
Key: N
SC =
*
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= Q,M. and M.L.D,D, rounded to nearest 0,5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
Test Test Location Elevation
1 15'S, 27'E of NW building envelope corner 963
2 20'S, 65'E of NW building envelope corner 964
, 3 10'S, 20'W of NE building envelope corner 965
lA Retest of 1 963
Elevation Reference:
c: Mr, Scott Steffen; Welsh Field Office
\1r. Joe Buche; Belair Excavating
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
\-lr. Paul Baumgarner; City of Prior Lake
es M. Samuelson
ranch Manager
-::' 109c,;ts.l
BRAUNSMe
INTERTEC
e
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 2
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' rMN53060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
ale M'
mnea o IS, 54 7-1 Prior L e, mnesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density- Inplace Dry Relative Minimwn
ID and Moisture- (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcf) (%) (pcf) (%) (%) Comments
4 6/3/97 N P-1: SC 12 117 13 112 96 98 B
4A 6/3/97 N P-1: SC 12 117 12 115 98 98 A
5 6/3/97 N P-1: SC 12 117 13 118 101 98 A
6 6/3/97 N P-2: SP-SM 10 112 10 113 101 98 A
7 6/3/97 N P-2: SP-SM 10 112 9 115 103 98 A
8 6/3/97 N P-1: SC 12 117 14 116 99 98 A
9 6/3/97 N P-1: SC 12 117 13 118 101 98 A
Key: N = Nuclear, ASTM D 2922
SC = Sand Cone, ASTM D 1556
* = a.M. and M.L.D,D, rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications,
\1 Test I Test Location ! Elevation I
4 50'S, 4Q'W of NE building envelope corner
\ 964-
I 4A Retest of 4 964-
I
1 5 45'N, 25'W of SE building envelope corner 965
I
I 6 20'N. 70'W of SE building envelope corner 966
t
I
I
I 7 27'S, 30'W of NE building envelope corner 967
I 8 IS'S, 3S'E of NW building envelope corner 966
i 9 10'N, 25'E of SW building comer 965
!
Elevation Reference:
1~1 09c '.cts,2
J es M. Samuelson
ranch Manager
~: Me. Scott Steffen; Welsb Field Office
Mt, Joe Buche; Belair Excavating
Mr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
Me, Paul Baumgarner; City of Prior Lake
BRAUNSM e
INTERTEC
e
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 3
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55 37 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
mnea )0 IS, 4 - Pnor Lake, Mmnesota
Max. Lab Inplace Specified
Soil Optimmn Dry Density- Inplace Dry Relative Minimum
ID and Moisture- (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pd) (%) (pd) (%) (%) Comments
10 6/3/97 N P-l: SC 12 117 14 115 98 98 A
11 6/3/97 N P-1: SC 12 117 15 116 99 98 A
Key: N
SC =
*
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= Q,M. and M.L.D,D, rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
Test Test Location Elevation
10 20'N, 15'E of SW building corner 966
11 15'N, 50'W of SE building envelope comer 967
I
Elevation Reference:
c: Mr. Scott Steffen; Welsh Field Office
Mr. Joe Buche; Belair Excavating
~lr. Dave V ogt; Gresser Concrete & Masonry
Mr. Mark Cackoski; Dunham Associates
~lr. Paul Baumgarner; City of Prior Lake
Braun Intertec Corporation
es M. Samuelson
Branch Manager
-} ':' 1 09c '~lS.3
BRAUNSM e
INTERTEC
.
~
Report of Field Compaction Tests
Date:
June 13, 1997
Project: BODX-97-109C
Report: 4
Client:
Mr. Gregory Voss
Welsh Construction Company
8200 Normandale Blvd., Suite 200
M' r MN 55437 1060
Project Description:
Construction Testing Services
Health Systems Minnesota Prior Lake Clinic
Welsh Const. Co. #97-068
P' Lak M'
mnea )OilS, - nor e, mnesota
Max. Lab Inplace Specified
Soil Optimwn Dry Density. Inplace Dry Relative Minimwn
ID and Moisture. (Std.Proc.) Moisture Density Compaction Compact.
Test Date Type Classification (%) (pcf) (%) (pcf) (%) (%) Comments
12 6/4/97 N P-3: SM 91h 123 8 123 100 98 A
13 6/4/97 N P-3: SM 91h 123 9 125 102 98 A
14 6/4/97 N P-3: SM 91h 123 10 122 99 98 A
15 6/4/97 N P-3: SM 91h 123 10 121 98 98 A
16 6/4/97 N P-3: SM 91h 123 9 124 101 98 A
17 6/4/97 N P-3: SM 91h 123 10 125 102 98 A
Key: N
SC =
*
= Nuclear, ASTM D 2922
Sand Cone, ASTM D 1556
= a.M. and M,L.D.D. rounded to nearest 0.5
A = Test results comply with specifications.
B = Test results do not comply with specifications.
Test Test Location Elevation
12 IS'S, 45'E of NW building envelope corner 968
13 55'N, 30'E of SW building corner 967
14 15'N, 10'E of SW building comer 968
15 5'N. 65'W of SE building envelope comer 968
16 75'N, 20'W of SE building envelope comer 967
17 20'S, 50'W of NE building envelope comer 968
Elevation Reference:
,"7 :G9c,cISA
c: ~lr, Scott Steffen; Welsh Field Office
Mr, Joe Buche; Belair Excavating
Mr. Dave Vogt; Gresser Concrete & Masonry
.\:lr. Mark Cackoski; Dunham Associates
\-Ir. Paul Baumgarner: City of Prior Lake
07:01 FAX 612 222 8961
BWBR ARCHITECTS
~ 00l/002
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.
....,.
FACSIMILE TRANSMITTAL
B W B R Architects
To : Paul Baumgartner
Company: City of Prior Lake
From: Jim Johnson
Project Name: HSM-Park Nicollet
No. of Pages (including transmittal) : 2
Sent By: JDJ
Fax No.: 447-4245
Comm, No.: 96090.00
Date: 6/12/97
Time: 4:14 PM
TITLE / DESCRIPTIO[\J / MESSAGE
Paul,
Here is a draft of a letter that outlines our concems regarding adding an
additional toilet near the waiting area. This issue was addressed early
in the schematic design phase. The additional toilet was relocated to the
exam room portion of the building because of expected frequency of
use. Since our code assurance people could not find any code violation
in the U.B.C., ADA, or State Code we moved the toilet.
Thanks
Jim Johnson
290-1932
(fax) 222-8961
TRANSMITTED AS CHECKED BELOW
D For Approval
o For Your Records
D Copies To :
400 Sibley Street SlIite 500
St. Palll. Minllosota 55101
D For Review &: Comment 0 Response Requested
tel: 612 222 3701
fn : 611 222 896]
o As RcqucstJ:d 0 Hardcopy to Follow
P1ellle call if all Pili. were not received
07:01 FAX 612 222 8961
BWBR ARCHITECTS
~ 0021002
.....
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BWBR ARCHITECTS
An.:hil~clur~ . rnlc:.riur Design
4UO Sibley StTeet Suite SOO
51. Paul, Minne~ola SS 101
6\2222370(
rax fil2 222 M9111
-----
'--
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June 12, 1997
Mr. Paul Baumgartner
City of Prior Lake
16200 Eagle Creek Avenue Southeast
Prior Lake, Minnesota 55372
Re:
Toilet RequiremeDts lOf tbe WaitiDg Area
Park NieoUet eliDie
Healtb S,stema MiDDuota
CommiuioD No. 96090.0
Dear Paul:
This letter is in response to your request that we have a female and male public toilet near
the waiting area. We have completed an in-house code review regarding this issue. We
have found that Chapter 29 of the 1994 Unifonn Building Code does not specifically require
that a male and female toilet be located next to a waiting area. We do have a male and
female designated toilet across the wayf'mding corridOl' from the waiting area. We feel that
the close proximity of the toilets to the waiting area will not be an inconvenience to the
patients waiting in the waiting area.
1be location of the toilets were detennined by the frequency of usage expected by Health
Systems MiMesota Park Nicollet Clinic staff, The majority of toilets are located in the staff
and exam room area because this area requires the maximum number of toilets, The
location of the toilets was detennined by the frequency of usage and the location of staff and
people waiting in exam rooms. It was detennined early in the schematic design phase that
two toilets directly adjacent to the waiting area was excessive and will not be used to their
fullest.
A future toilet is planned directly adjacent to the proposed toilet near the waiting area. This
future toilet would occur with any expansion to the Park Dental space or the Park: Nicollet
space, We realize that your request for two toilets is an appropriate request and we will lake
all appropriate measures to include a futw'e toilet near the waiting area with any future
expansion.
Sincerely.
BWBR ARCHITECI'S INC.
James D. Johnson, AlA
cc:
Duane Spiegel, 8SM
Greg Voss. Wells Construction
Glenn Manni. BWBR
tit
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~IRST BANK
First Bank National Association
Minneapolis Office
601 Second Avenue South
Minneapolis, Minnesota 55402-4302
612973-0736/0710
International Banking Division
Cable: FIRSTBANK, MPS
TELEX: 192179 FBNA INTL MPS
S.W.I.F,T,: FNBMUS44
Fax: 612 973-0838
JUNE 3,1997
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVENUE
PRIOR LAKE, MINNESOTA 55372
WE HEREBY ESTABLISH OUR IRREVOCABLE STANDBY LETTER OF CREDIT NO. 76662 FOR THE
ACCOUNT OF WELSH CONSTRUCTION CORP" 8200 NORMANDALE BOULEVARD, SUITE 200,
MINNEAPOLIS, MINNESOTA 55437-1060 IN THE AMOUNT OF $45,155.00 (FORTY FIVE THOUSAND
ONE HUNDRED FIFTY FIVE AND NO/100 U.S. DOLLARS) AND AUTHORIZE YOU TO DRAW AT
SIGHT ON FIRST BANK NATIONAL ASSOCIATION, MINNEAPOLIS OFFICE.
DRAFTS ON US AT SIGHT MUST BE ACCOMPANIED BY A SIGNED STATEMENT OF THE
BENEFICIARY AS FOLLOWS: "THE UNDERSIGNED HEREBY CERTIFIES THAT I AM DULY
AUTHORIZED TO EXECUTE THIS DOCUMENT ON BEHALF OF THE CITY OF PRIOR LAKE AND THE
AMOUNT OF THE DRAFT ACCOMPANYING THIS CERTIFICATION IS DUE AND OWING TO THE
CITY OF PRIOR LAKE BY VIRTUE OF A DEFAULT BY WELSH CONSTRUCTION CORP. AND THAT
WELSH CONSTRUCTION CORP, HAS FAILED TO ASSURE THAT ALL LANDSCAPING IS ALIVE AND
HEALTHY, THE AMOUNT DRAWN WILL BE USED BY THE CITY OF PRIOR LAKE TO CURE THE
DEFAULT."
THE AMOUNT OF ANY DRAFT(S) DRAWN UNDER THIS CREDIT ARE TO BE ENDORSED ON THE
REVERSE SIDE HEREOF, SUCH DRAFT(S) MUST BEAR THE CLAUSE "DRAWN UNDER FIRST
BANK NATIONAL ASSOCIATION, MINNEAPOLIS OFFICE CREDIT NO. 76662 DATED JUNE 3, 1997."
WE HEREBY AGREE WITH DRAWERS THAT DRAFTS AND DOCUMENTS AS SPECIFIED ABOVE
WILL BE DULY HONORED UPON PRESENTATION TO FIRST BANK NATIONAL ASSOCIATION,
MINNEAPOLIS OFFICE, 601 SECOND AVENUE SOUTH, MINNEAPOLIS, MINNESOTA 55402-4302 IF
PRESENTED ON OR BEFORE OCTOBER 31.1998.
THIS CREDIT IS SUBJECT TO THE UNIFORM CUSTOMS AND PRACTICE FOR DOCUMENTARY
CREDITS PUBLISHED BY THE INTERNATIONAL CHAMBER OF COMMERCE, OR ANY
SUBSEQUENT REVISION THEREOF.
FIR T' ANK NATIONAL ASSOCIATION, MINNEAPOLIS OFFICE
&trl&SIG~()r/rR ~
76662KHR.DOC
e
First Bank National Association
Minneapolis Office
601 Second Avenue South
Minneapolis, Minnesota 55402-4302
612973-0736/0710
JUNE 3, 1997
.
I
I
International Banking Division
Cable: FIRSTBANK, MPS
TELEX: 192179 FBNA INTL MPS
S.W.I.F.T,: FNBMUS44
Fax: 612 973-0838
ENCLOSED IS OUR LETTER OF CREDIT NUMBER ZQQQ2
BENEFICIARY
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVENUE
PRIOR LAKE, MINNESOTA 55372
APPLICANT
WELSH CONSTRUCTION CORP.
8200 NORMANDALE BOULEVARD
SUITE 200
MINNEAPOLIS, MINNESOTA 55437-1060
ATTN: DENNIS DOYLE
/ I Y~"
.....f ,.~. , -r- ')I,>~\j
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FIRST BANK NATIONAL ASSOCIATION, MINNEAPOLIS OFFICE
76662KHR.DOC
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~ Metropoli.n Council
M Working for the Region, Planning for the Future
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Environmental Services
May 20, 1997
Paul Baumgartner
Building Official
City of Prior Lake
16200 Eagle Creek Ave,
Prior Lake, MN 55372-1714
Dear Mr. Baumgartner:
The Metropolitan Council Environmental Services Division has determined SAC for the
Park Nicollet Clinic to be located within the City of Prior Lake,
This project should be charged 5 SAC Units, as determined below. The Council
understands a portion of this building is speculative dental office.
SAC Units
Charges:
Fixture Units
64 fu. @ 17 fu./SAC Unit
Film Processor
,75 gpm x 60 mn/hr x 4 hrs/day @ 274 gals/SAC Unit
Dental Office (Speculative)
1856 sq, ft. @ 2400 sq. ft./SAC Unit
3,76
0.66
0,77
Total Charge: 5.19 or 5
When the finishing permits are issued, the SAC assignment should be reviewed based on
actual usage. If you have any questions, call me at 602-1113,
Si~, J. ~
Jodi L. Edwards
Staff Specialist
Municipal Services Section
JLE:
970520SC
cc: S, Selby, MCES
Jim Johnson, BWBR Architects
230 East Fifth Street St. Paul. Minnesota 55101-1633 (612) 222-8423 Fax 229-2183 TDD/TIY 229-3760
An Equal Opportunity Employer
, -
.
.
,'-,,-
MEMORANDUM
BWBR ARCHITECTS
PARK NICOLLET CLINIC
HEALTH SYSTEMS MINNESOTA
PRIOR LAKE, MINNESOTA
COMMISSION NO. 96090.00
TO: Paul Baumgartner, City of Prior Lake
Duane Spiegel, HSM
Harlan Nelson, HSM
Greg Voss, Welsh Construction
Dean Williamson, Prauenshuh .
Glenn Manni, BWBR
FROM: Jim Johnson, BWBR
SUBJECT: Conversation with Paul Baumgartner, City of Prior Lake, regarding 2 hour area
separation requirements
DATE: May 16, 1997
After several conversations with Paul Baumgartner we have resolution to the clinic construction
type and 2 hour area separation wall requirements, The clinic will be classified as TYPE II - N
construction type, Because type II - N requires only non-combustible materials for floor, wall, and
roof construction, the asphalt shingles and plywood sheathing have been eliminated in lieu of non-
combustible wood cement board and a prefinished standing seam metal roof. This change will be
issued in Proposal Request No. 1. There will be a two-hour area separation wall, see attached
floor plan, along the south side of the wayfinding corridor. The two-hour wall can terminate at the
underside of the metal deck as long as one-hour fire resistive fire proofing is applied to the beam
along grid E and the steel joists framing between grids E and F, The fire proofing will eliminate
the requirement for the clerestory wall at grid E to be two hour construction i,e, hollow metal
frames (maintenance problem), wire glass, and non-combustible roof flashing and sheathing.
400 Sibley Street Suile SOO
5t, Paul. Minnesota SHOl
10/21/96
BWBR Architects
MEM0#6.DOC
tel: 612 222 3701
fax: 612 222 8961
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F A C S I M I Ltc E T R rAtN' S M I T TAL
B W B R Architects
To : Paul Baumgartner
Company: City of Prior Lake
From: Jim Johnson
Project Name: HSM - Prior Lake
No, of Pages (including transmittal) : 3
Sent By: JDJ
tfZ If ~
Fax No.: 447 1ilS
Comm. No.: 96090.00
Date: 5/16/97
Time: 11 :29 AM
TITLE I DESCRIPTION / MESSAGE ,,#,{l;
Paul.
Here are the details indicating location of fire proofing for the clinic.
Also enclosed is a joist penetration detail at the two-hour area wall.
Call If there are any further questions
Thanks
Jim
290-1932
TRANSMITTED AS CHECKED BELOW
D For Approval
D For Your Records
D Copies To :
400 Siblcy Strcct Suitc 500
St, Paul, Minnesota 55101
~ For Review & Comment D Response Requested
tcl : 612 222 3701
fax: 612 222 8961
o As Requested 0 Hardcopy to Follow
Please call If all pages were not received
!
,
FAX 612 222 8961
BWBR ARCHITECTS
..__~_~_02/003 _
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MET AL DECK
TOP OF GFBD
WALL
PROviDE FIRE-STOP
FI6ER AT METAL
DECK FLUTES
FIRE-STOP 5EALANT ~'
AT TERMINATION OF
AREA 5EPERATION WAC;
~TUJO-HOUR AREA
5EPERA TION WALL
~CUT GP6D AROUND TOP
CHORD, BOTTOM CHORD
C WEB OF JOIST, FILL
CAVITIES WITH FIRE-
STOP SEALANT
STEEL JOI5T,
SEE 5TRUCT,
SOF., MAINTAIN ONE-HOUR
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FAX 612 222 8961
BWBR ARCHITECTS
~ 0011003
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~ACSIMILE TRANSMITTAL
B W B R Architects
To : Paul Baumgartner
Company: City of Prior Lake
From: Jim Johnson
Project Name: HSM - Prior Lake
No, of Pages (including transmittal) : 3
Sent By: JDJ
Fax No.: 447.4245
Comm, No.: 96090.00
Date: 5/14/97
Time: 8:33 AM
TITLE / DESCRIPTION / MESSAGE
Paul,
live enclosed details related to our two hour area seperation wall. The
construction type for the clinic will be TYPE II - N. I have indicated the
location of the two hour wall on the floor plan. The two hour wall will
terminate at the non-combustible metal deck near the med. Info. nurse,
& patient edcuation rooms as per USC 504.6.4 (Terminating) EXCEPTION
No.3. I have also enclosed a section through the clerestory wall. The
two hour wall will terminate at 2 hour shaftwall construction,
All of the hip roof areas have changed from plywood sheathing with
asphalt shingles to linear metal roofing over non-combustible wood
cement board.
Please call with questions
thanks
Jim Johnson
290-1932
TRANSMITTED AS CHECKED BELOW
o For Approval
181 For Your Records
o Copies To :
400 Sibley Slreel Suite SOO
51. Paul. MillllC5UU 55101
o For Review & Comment 0 Response Requested
lei: 612 222 3701
fax: 612 222 896\
o As Requested 0 Hardcopy to Follow
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FAX 612 222 8961
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Jane Kansier, Planning Coordinator ~
May 13,1997 U
TO:
DATE:
RE: Park Nicollet Clinic Plans
Attached are revised plans for the Park Nicollet Clinic building, These plans should incorporate
any changes or revisions we required. Please let me know if you have any comments or
questions,
1: \97files\97 sitepI\parknic\revp Ian. doc
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MEMORANDUM
BWBR ARCHITECTS
HEAL THSYSTEMS MINNESOTA
PARK NICOLLET CLINIC
PRIOR LAKE, MINNESOTA
COMMISSION NO. 96090.00
TO:
Those Present
Roger Larson, BWBR
FROM:
Jim Johnson, BWBR
SUBJECT:
Code Review Meeting with City of Prior Lake
DATE:
May I, 1997
PRESENT:
Gary Staber, City of Prior Lake
Paul Baumgartner, City of Prior Lake
Duane Spiegel, HSM
Harlan Nelson, HSM
Greg Voss, Welsh Construction
Glenn Manni, BWBR
Jim Johnson, BWBR
1. The proposed rated exit corridors will not be required. In lieu of the rated exit corridors a two
hour separation wall will be located on the south side of the wayfinding corridor (Room 12).
2. This vertical separation wall must continue above the roof and provide three-quarters of an hour
parapet separation in the two halves of the building.
3. BWBR will review the detailing of the clerestory hip roof to provide noncombustible materials
which comply with the two hour fire wall separation requirements.
4. BWBR will review the proposed number of public toilets, specifically the number of toilets
required for the public waiting area.
5. The site grading and building shell permit have been applied for. The City of Prior Lake will
issue a conditional permit on the site grading and shell, which will allow for further clarification
in detailing of the hip roof clerestory portion of the building,
The above constitutes BWBR's understanding of this meeting, If there are any comments, questions, or
additions to these meeting notes, please notify the architect immediately in writing.
400 Sibley Street Suite SOO
St. Paul, Minnesota SS101
BWBR Architects
5-1CODE.DOC
tel: 612 222 3701
fax: 612 222 8961
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MEMORANDUM
BWBR ARCHITECTS
HEAL THSYSTEMS MINNESOTA
PARK NICOLLET CLINIC
PRIOR LAKE, MINNESOTA
COMMISSION NO. 96090.00
TO:
Paul Baumgartner. City of Prior Lake
Glenn Manni. BWBR
Roger Larson. BWBR
Duane Spiegel. HSM
FROM:
Jim Johnson. BWBR
DA TE:
April 4. 1997
SUBJECT:
Telephone Conversation with Paul Baumgartner of the City of Prior Lake
Regarding Rated Corridors and Exiting in the Proposed Prior Lake Clinic
1. The attached floor plan indicates the proposed one hour corridors as approved by the City of St.
Paul Building Inspector.
2, The one hour corridors will include the nurses station and waiting area because of staffing of
these areas.
3, The corridors running north and south between exam rooms will not need to be rated as long as
the occupant load in these corridors remains under 30 occupants.
4. The one corridor on the north side of the wayfinding street will require the addition of three
doors into the north and south running corridors. Corridor 152, 157 and 160. Two doors opening
up into the meds alcove, Room 145 and a flre shutter located at the x-ray/lab reception counter.
The one hour corridors will consist of one hour flre rated walls and a one hour ceiling assembly
or shaft walVtunnel construction,
5. The lobby (Room #101). vestibule (Room #1(0) and waiting (Room #111) will not require one
hour construction because of the proximity of the exit doors and the openness of the spaces,
The above constitutes BWBR's understanding of this telephone conversation. If there are any comments,
questions, or additions to these notes, please notify the architect immediately in writing,
400 Sibley Street Suite 500
St. Paul, Minnesota 55101
BWBR Architects
4-4PHONE.DOC
tel: 612 222 3701
fax: 612 222 8961
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F A C S I r,~ I L ( T R A r J S M I T TAL
B W B R Architects
To ; Paul Baumgartner
Company: City of Prior Lake
From: Jim Johnson
Project Name: HSM Prior Lake
No. of Pllges (including ttansmiual) : 3
Sent By: JDJ
Fax No.; 447-4245
Comm. No.: 96090.00
Date: 4/3/97
Time: 3:12 PM
TITLE / DE~.CRIPTIOrJ 'r"lE':..~ACE
Paul.
Attached are two floor plans. one with a diagramatic illustration of
the proposed 1 hour corridors. the other is the same plan without
the diagrams. I have added doors along the north side of corridor
121 to create a 1 hour corridor. I have included the nurses stations
in the rated corridor because they are occupied by staff only.
thanks
Jim Johnson
290-1932
TRANSl\/IITTED AS CHECkED BELOW
o For Approval
~ For 'If our Records
o CopieS To ;
400 Sibley Strut Suite .500
Sl. Paul, Minnesota 55101
lei: 612 222 3701
fax ; 612 222 B!JlIl
o For Review & CODlJDeDt 0 Responsc Requested
o As Requested 0 Harclc:opy to Follow
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MEMORANDUM
BWBR ARCHITECTS
HEAL THSYSTEMS MINNESOTA
PARK NICOLLET CLINIC
PRIOR LAKE, MINNESOTA
COMMISSION NO. 96090.00
TO:
Those Present
Duane Spiegel, HSM
Glenn Manni, BWBR
Tom Kerby. Melchert Block & Assoc,
John Parotti, Melchert Block & Assoc,
FROM:
Jim Johnson, BWBR
SUBJECT:
Meeting Notes from Site Plan and Floor Plan Review of Tuesday, April 1, 1997
with the City of Prior Lake
DATE:
April 1, 1997
PRESENT:
Jane Kansier, City of Prior Lake
Paul Baumgartner, City of Prior Lake
Jim Johnson, BWBR
1. Site landscape plan to have a note regarding compliance to the City of Prior Lake's Tree
Preservation Program.
2. Landscaping will be required at the base of proposed monument signs on Highway 13 and near
the driveway,
3. City of Prior Lake parking requirements require a total of 49 cars, the proposed clinic site plan
indicates a 113 cars, (Subsequent count indicate 94 cars not 113 cars.)
4. A lighting plan and a sign plan will be required for the building permit. The City of Prior Lake
requested that if a lighting plan is done prior to issuing for the building permit, they would like
to see one earlier,
5. A ten foot easement will be required for all fire hydrant supply lines on the property,
6. The proposed exiting plan for the clinic was presented to the city, The exiting will consist of a
fIre wall on the south side of the waytinding street and an exit corridor on the staff corridor
running along the north side of the building, Paul Baumgartner will review proposed exiting and
indicate any recommended changes to BWBR within the next few days.
7. The construction type of the Park Nicollet Clinic will be Type III-N, Occupancy classification
will be Type B.
8, The clinic will be fully sprinkl.ed.
The above constitutes BWBR's understanding of this meeting, If there are any comments, questions, or
additions to these meeting notes. please notify the architect immediately in writing,
400 Sibley Slreel Suite SOO
Sl. Paul, Minnesola SSIOI
BWBR Architects
4-1MTG.DOC
lei: 612 222 3701
fax: 612 222 8961
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tcl: 612 222 3701
fax: 612 222 8961
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MEMORANDUM
BWBR ARCHITECTS
HEALTHSYSTEMS MINNESOTA
PARK NICOLLET CLINIC
PRIOR LAKE, MINNESOTA
COMMISSION NO. 96090.00
TO: Those Present
Glenn Manni, BWBR
Duane Speigle, HSM
Harlan Nelson, HSM
FROM: Jim Johnson, BWBR
DATE: March 3,1997
SUBJECT: Preliminary Site Plan Review Meeting with the City of Prior Lake held
Monday, March 3, 1997
PRESENT: Jane Kansier, City of Prior Lake
Paul Baumgartner, City of Prior Lake
Verlyn Raaen, City of Prior Lake
Lani Leichey, City of Prior Lake
Jeff Evens, City of Prior Lake
Gary Staber, City of Prior Lake
John Parotti, Melchert Block
Dean Williamson, Frauenshuh Companies
Jim Johnson, BWBR
The purpose of this meeting was to review with the City of Prior Lake site plan and utility
requirements for the Park Nicollet Clinic.
1. The proposed building site is Zone B3 (general business).
2, The lot size is 4.2 acres. 1bis is part of an 11 + acre development on the old drive-in theater
grounds. The setbacks for the site are 50' for the front setback, 30' for the rear setback and
20' for the side setback. The front setback wiII be established off the right of way for
Highway 13 and cut diagonally from southwest to northeast across the northwest comer of
the site.
3. Proposed development will have landscaping as per required by zoning ordinance around the
site perimeter, focal entry areas, and parking lot landscaping.
4. All mechanical equipment, exterior storage loading docks, trash storage, wiII have
appropriate screening as required by the City.
.
5. The existing trees will be evaluated as per the City's tree preservation program which sets
guidelines for preservation of certain species and sized trees,
400 Sibley Street Suile 500
St. Paul, Minnesota 55101
BWBR Architects, Inc.w
3-3MEMO.DOC
tel: 612 222 3701
fax: 612 222 8961
e
HEALTHSYSTEMS MINNESOTA
PRELIMINARY SITE PLAN REVIEW MEETING
PAGE 2
~
6. The building signage can comprise of a maximum of 20% of the total wall square footage.
7. The proposed signage for the building will be a wall sign along Highway 13 on the north side
of the building. Also wall sign on the south side of the building near the front entry way and
pylon signs at Franklin Trail near the driveway.
8. The address will be referenced to Franklin Trail. If the proposed ring road is built, the
address may have to change to coincide with ring road.
9. 100 proposed site will have a retention pond on the northwest comer of the building near
Highway 13. The City of Prior Lake would like to see a common retention pond for the
entire development area.
to. The proposed clinic will be pennitted with a building pennit, however the developer's permit
will be required because of storm water fee which takes into account the entire developed
area.
11. Frauenshuh and the City of Prior Lake will put together a development agreement to outline
tenns of storm water fees, trunk area charges, and utilities.
12. The City of Prior Lake would like to develop the proposed drive off Franklin Trail as a
future road, following City requirements and easements.
13. The drive off Franklin Trail will be built as per City requirements for road. Utilities off
Franklin Trail would extend south down the road and tenninate at a minimum distance
beyond the proposed drive into the parking lot for the clinic. Utilities and utility easements
will be laid in that road. Frauenshuh will meet with the City of Prior Lake to determine how
this road will be built and who will pay for it and how it will be assessed.
14, The proposed clinic site will require a fire hydrant 150' maximum radius is required for fire
trucks from a fire hydrant. The existing fire hydrant on the east side of the Hollywood Pizza
facility is 175' away from the proposed clinic.
15. Other agencies to be notified of the pf9POsed clinic proposal would be the Metro Water
Agency to determine WAC and SAC charges. ' 100 Watershed District will also have to be
notified to make sure that the facility complies with its requirements,
16. BWBR and Melchert Block will issue a site grading package within the next few weeks.
Another review meeting for site plan review will be required with the City of Prior Lake
prior to issuing the site grading package. The pennit for exca~ation and fill in can be issued
prior to resolution of the developers agreement
.
.
The above constitutes BWBR's understanding of the results of this meeting. If there are any
questions, comments, or additions to these meeting notes, please notify the architects immediately
. .. ,
In wnting, .
5 March, 1997
BWBR Architects, Inc.
3-3MEMO.DOC
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PARK NICOLLET CLINIC FIRE SUPPRESSION SYSTEM
PLAN REVIEW COMMENTS
1. All flow switches and tamper switches shall be monitored as approved by the
City of Prior Lake.
2. Fire alarms shall be audible throughout the building.
3. Inspector's test shall be located in a remote area.
4. It is the responsibility of the fire suppression contractor to ensure that all
mains, branch, and supply lines are flushed.
5. Repair any fire resistive coatings on framing members removed to attach fire
suppression system.
6. Seal all penetrations in rated walls.
7. Install all materials per their listing.
8. Post indicator valve or other approved exterior system shutoff required.
16200 Eagle Creek Ave. S,E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
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