HomeMy WebLinkAboutBuilding 12. 836, Plbg 12. 0922, 12.924,Mechan 12. 0937 �� : 4': ,''- i *ifr ,. ti .. rs .. r 1 " 1 A ry 11rr• . r ��V' r�` p '' :
h .. , +. . 1 { ; r. - ---- l '' + 4 Wl r� i)
/ ., n sy ,coy, y y +.., . , .r., . .. •Y.,eo n. C�r r ,. r9 r yr. /s AIA s lllrr .s allr;av r�fl -ll i qq 1 pppp y �u( � 1 `r ., v1� ..,
.� 1 '. V r ii,4vC''YiYra•t I •� 1,,WQ11 t1 p ��� 1. ..I �1. ,J1111 ,:. Illllr 11111r; JIN111 Jlfr' �/'� rH ( % .. ,. ' , 1 1
....111r..1arr.1..1 .s.. l..e. 11 . . �4y.. tNA�� Nfi9 �:� v Ir., R .i/lri'r V �AIrPr � � 1 11.;,11 If Vltitlll,.,.V1111rV CI Il "',:'�� � ,���ryy ,,. ,l '. ' -�. � ?�f ,. v :.
� • s •. . yA .x:11111:!! 1.111 ■ .. 111x1. �ry ., _r1N1y0% 1(f111 NII/ �W111� yt llv, ;. 1 H II NI ..,;1111111, Hnl ll IIr1/14 ,rlllllr} ,v Itl n } ; I: . E � �J� � �7 II:VY�•�, V��i �-.
`, ♦ 1 11111. i 11111 v11n1 +] o o, r , / IN} U flnit , fIttit it! fif o Oft tt��it fl��li e . t
Jlllll �y11 tM1 11�IIIY Illtlll , 1111NVr IIII �,atllllll rlltllr r lfllll Vlltlll( ,. vll'11vY � 1 1Y � 1 � . � I •.i V� �_. } LaY�VV�I �:illll ,_. �Vtlr :•.i YVVYYI ..
no. f1 ��1IfI�If�INl1f11� '11 fl��tf ' • If¢�II ; 111111 , 11111 L� fl •, 111 f � Vu 1 : (1 , If - _ _- � •. - � � �)
Illllh Illlllly .- •-
It , : .,. Crrfificafi t f (fix .tpanc r
�,,, *I CITY OF PRIOR LAKE = =.
Prparfutruf of uilbing nsprt I-
0 `=' El Final Permitted ❑ Conditional C.O. Expires
l This Certificate issued pursuant to the requirements of Section 110 of the ❑ R esidential / ❑ International
rl
Building Code certifying that at t time of issuance this structure was in compliance with the various 0
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification C OMMERCIAL B ldg. Permit No. 19-0836
C3 - ;'
(1
O ccupancy Type Typ Construction Zon ing District
Legal Description
Fi site Address 16180 HASTINGS AVE, SUITE 'a
Owner of Building ; 5
Contractor's Name & Address
,i ; � _ NA 5��
, �1 C 11 :1 1 1 1 1. 1 ,
"` ROBERT D. HUTCH I NS _- y
Cit P lanner ti
Or.: B u il ding Official o;,�
r D ate
� � ti Date: .
POST I N CONSPICUOUS PLACE
1�W. +'3 .• �• .• �• •• ••I I I Il..:..11f� 1 I fl I I III 1.' Il I I i.11 11, :,II�711 I II II 1 r�1 4� 11.. I I I } II I ,tll, 1( r II��. �I` � ', II I �;(�r, ^ ^I ♦ -.(f I
r t ,i 1 r � lf� 'I'N'S 1 h � , ' / 'RG k�h I x,a;:;�1� f "' fv � X : j v M1���x�_Ylr, ��4. ,
11'''A r� 11 „ U `I : 6 "S�." ; h
I �e vuti, �1� v j. Y r 9 K II *: or J a 1 - y y �5 . y i ii � 10,•:w
V J
W z r \ w
J CC u. c 0
~ , Q? \. Q ,
Y g J a �S J J 0 ' ° Q � W
`` - NO z
i,1 z
v, . I ❑❑❑❑❑�. CC
N N w z ce
0
N O N O
o ° aa -' � G ` m O w w Y Y Q V Z 0 f- q� ` cam tY p p u. J a) 0 P.
Z _ _sx z Z u � 1 a O
0 C2 U O w m c4 m u
N v a D v/ =v w w z x o
w
a. � J w w w
n � � , 0 0 re Z
❑ ❑ ❑ ❑ ; ` ` c4 X O w
J ui Y 0 Q z N 0 U 0 = ' 2
�I O u
g iii F 3 a
0 Z o z w F- F 4 a
E2
0. z a?o N a. W -'-J < W J W lc a a o Q
O W a w z 00ce Z M 3° v a< o
% ° 0 U. U. U. ? -- O '� to
5 ? 4 0 a ❑❑❑❑ ❑ 0 �'l.❑ ❑ c
J
0 w Z Z I-
\ 0 Z Q U U W I Z W
N � JCLZ I ` j
(7 ci W W� '_ � ` J J 0 O W c..,
w �� w 0 , irQ Z Q
ti ,3 WULLLL ` 2 Z i.,
0000❑❑ • >
CL
U- \ I 0 o
w x
0 v
0 N
J \ I ■ W Z � O
0
J z _ » _Z Q m c 0
• 0 c H c7 0 0 LL J f I 0 U U g
Q
_ 0 a W '' c
U O w Z _Z •? _"'I d U P. c Li rn 0 a °° a 8? o x
DWQyMW o o z f- Q
a 23 vo a 2 1 w w w X
111 00000 0 v 0 v 0 z
VI a Cl. LL i -
�� re Q Q ti,:ft!.
1:: •• O U
5� o , , 00 �
LL 0
oZ ° o w FN— ►'-- a
�p (7 N Z N o o
a � N Z f -Z�gJZ W ►� Y w re L
ce O
LL o
OW W Z O O�NZF- �. O O O y 0 V 0 Z o 0 LL LL LL Z LL N 0 N 3 U U 0
U Q 0 a 00,00❑ 0 J ❑' ❑ c
4
3 > D 0 — n 000000 13 0 > zg
A n a 0 0 0 c -1 Z C °° z m k � /
c r- o M P { E m >c -, -(n q�
/ t -71 \ �- k / \ K § z§
o 6 o � o
c 47 o 0 O I ¢ 0. z z 7 z x § z o \ 2] E N ∎ m m
h o r- z 7 e,
TI -
\ 2 ooO�Qo
q q m m m -a *c r
c zoo , nc -1 §
% M z? m .1§ m 0 0
k \ 0§ o > 0 0 0 0 3 q -\ 2
r -n oo xi
%
O o z Ex z r
/ 2 } ■ r �� P �, 0
V. o
§ m r
0
§ 0 . § 000000
m ) > 0 kk § ` rn
o E MC m
_ N
\ 0 X 00 \§
§ m / -1 ; X zE -1
, §> m
r C �
O OB 0 00000E 7 0 > 2§
k 0 0 0 0 K ƒ t� o 2 z m 2 m 0
n o 2.a' - q 2 r > cE a 0 m 73 m q-n
C. R 0 0 m z �z °Z § o�
m r § §e 2 § aQ�Q y -
/ R * a j en] z § xi
/ 2 - a x � ® - a 0
n kq Z 0x
11 n > o
73 r r a X
k kkk c
m mMM ( $ -0U) *■/
0 x mm nc -1§r
2 ® § %m � 0 } cn
Ll m ƒ \ \ >000 2 2 m
~ ® \ 0 0 � " �� � z // - z c r
§ B F. .� r- -0 - 0 P .. � m
/ I 3
§ m .
§ < 000000 Q o
Q 2mnm >
/ > z
To 55
2 . K���
¢ � >=m M
® » �7) -I -4
w t - m
q 0
F c 0
n n \ 0q/
0 0000eo 7 0 z@
k r To o m k CA -n
m k 4
$ t 2 2 { m z > E ID E z 2 OM k
o " ��o\ ¢ m J ® �� k2
k / a n q 2 z 2
# m n z w
0 o
7 2 . § / k by / /
0
z O 2 z
% z 7 R R
' RI
x @ mm mm 000000 II
z o 0
) \ k / /
C17 0)
2 �nc -
k 7 2 ] -n§ ■ g ,3§ m J 0
/ 2 / 0
I§ o o § 3 Z m
? m / \\ \ �� m 0
I q ' v
c
0
0
2 ƒ 00022 `
•
\ /
r . s;; ,„,„ �
rn
/
mm m
��� ® i K
`. 0.1 PRj0,
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 Z G
AND UTILITY CONNECTION PERMIT
e�
C � r j N NB SO ,�
I. White File PERMIT NO. 'Z 934
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1.1f.9 s f 1 605 O0 ( _ sc, 1r Z� C3
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PIDZ5 Dtl •
OWNER n — G tC 6.-11-<1_ IC PL" Z.1%) 3
(Name) 1 � (Phone) q �J 2- ^ � 5 -2 - 22 -2.
(Address) ! Zc v - riGt r1G C Gl' . t'C , s . 5V r i (ac Es )10G1 ,IY1 r\ '-l3
BUILDER
(Company Name) (2-- uta Y\ C_C 5'1 GeT7c.or.. (Phone) q ''' y-(o - S
(Y
(Contact Name) ol 2y .1c, t�-r\So r"-- t r o \ (( L> 14 y3 I .7
(Address) 51 $O 9- 6.0 L."
1 r' Gt D 2 `t 1 U ( , cot no), >r r\ a
TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
EAddition ,Alteration ❑Utilit Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V AB
Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land) /
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am owner or authorized agent for the
above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitt ns. I am aware that the building
official c ke th's permit for ju us Furthermore, I hereby agree that the city official or a designee may enter upon the property to m needed inspections.
X c
7 ± — I Z
Signature Contractor's License No. Date
Permit Valuation 1 o t o o rs,, - Park Support Fee # $
Permit Fee $ t �, So SAC # $
Plan Check Fee $ 1 L � � Water Meter Size 5/8 "; 1 "; $
State Surcharge $ G , , Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other ' $
Gas Fireplace Permit Fee $ TOTAL DUE 19k 021(2- $ 32-o
This p ica ; Bec o W
, es Your Building Permit When ppr ved Paid �p (, Receipt No. r0 �
7 �
� � S Z Date � - /1- BY
D uildin Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. ��� e see o�e w� /t re are,
.I _ / SPraraie. 4 110 age fermi*
Plane _ Director Date S al ditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
.... •
•rp- +NO • ," • *
• * i • ■ bh.
Rock Creek Plaza - Buildout Proposal
.....
ccbinet 411' 46'i-oil-wall 1 co
A /
/ IVA / . / or
/ l / .E.-
of. D --- -7--
&
II
m.
I a
,, 43 zi -3
,
mu. al
/ Picr
....._
- Area
A CI Vvbiting
1 ' it- Ill -9.
4_1 a
i l
4
r d oc .
iv ;15'
(ff
15.8'
</ j a,
1 A
00 ,
Ne
11, Seating
1111 II =rhelworkting drop
l t a
Conference 4 -,
2.;
m 7 k!), =outlet
0 III R.,..-.0 4,.1A
' ____< ri
tv") ilf
0. 0 .....
t...,04 . -,-,.. - , ... .... t
, Norkroo 1 \-\
11 4 lie
' ' ^: cobi.
r-4 (
ali LLI
H -\(-11/1011-11 Cr
c $ I
I !
It
1 11 401 r • g se 4 •-_.,:e
II
AV Lio fg
.., s ,.... -1- ' •
1 a IC•: — ----;.* 1- 4 -
0 12.5'
Ti APTIIII 1 11 1 ;
il s gest! 9' ei t
--,......
Room 5 a 1 1 ‘
0 i
II -,
de
_ill c 1 V
I II Ll
Tr
1:'
at 111111 77 ---- -- - ' 15 r.1 ,
....„--...
—. — I.- r...
t ct
r .
30, .......
_____„......,._ ...,
, stfr 3 fi 13 in CI
Ft_c,c) 12 P LA NI
The Lorenz Clinic, LLC — P.O. Box 51— Victoria, MN 55386
Tel (952) 443.4600 Fax (952) 443.4604
Page 1 of 4
.:4
1 1 t 2 1 P-,La
* 11061 4 Ln3
illilits .,1;1
1 1 1 4 IS l o
1
111 11 ,c7i
illOvcIli
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1 1 80 t Tt° 208
NATURE OF WORK T EN AN 1- f= I r ls14
USE OF BUILDING Vc_
PERMIT NO. 17_ • f%. ATE ISSUED $ /2i/
CONTRACTOR RNL Ii4 Nc Cc sr►Z.L5 c1"%oa PHONE15z- 4 - szzz
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I feliala I 1
1 ISIMMINIC Prior to Backfill) 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
Ewa
FRAMING � As/ (a I
INSULATION
ELECTRICAL
PLUMBING Slice/
HEATING (if required)
or
COVER NO WORK UNT L ABOVE HAS BEEN SIGNED
Nk6TAL 4/1k)f)rus. Fl ALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850
« t ;? v uW r S t \ t x x : ? : � �" t �`',�,' �� t t x 5 t r \ .
� t � i 3 iy :,,
yi N i f J . , 1,,,: {' Vs { I � F Il �.� ) 1 ; :.
I ' I ...r __ u.�ir : ��•. .. �� r __ ..�� .. i l �, .. . , ..'� ,. 1 , _. .'.0 .: r.. �� .. .. ..,� .. � _. t .��h __ u,. ' _. iV�.if a T. � dad.. n.JL..'I�Y,�u ._ .
1:� n._ i . in._ ii.�ir ...i :. i _.o.. I _. i ..0 _. � .. i .. h., I .. n..iL _. u.. i'._ I ., i .. � .al i
,(..„ CITY O F PRIOR LAKE
t !tparfit�Q xt± of ntib u c1u sprxfaxt ;a
> - - - ❑ Final Permitted ❑ Conditional C.O. Expires
�
, ` . This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International
>'_y v = Building Code certifying that at the time of issuance this structure was in compliance with the various
1 f ft " ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification
COMMERCIAL Bldg. Permit No. 12 -0836
A Occupancy Type Type Construction Zoning District C
Legal Description
>p r ___ Owner of Building Site Add ress
16180 HASTINGS AVE., SUIT:
Contractor's Name & Address : 1 ► - : ( : ► _ 1
NA 5
.- „ ROBERT D. HUTCHINS City Planner
Building Official
t . 5 Date: Date:
. � , IN CONSPICUOUS PLACE ,
� � ., „��. a (�. �,. , .. . .. ,.� 4 Y Y:. 41�.. ,1 i- �Y�'u a 4 , ..,4.� �.. ( (� 'fit' r U � \ j
+, �/ �/ �/ U t l - "�. ,,rte - � { �/ �� p �/ q �/
��� . � i s > i � �. F @ � e T � h :r U ��' �C'XV ^� 5 � 3 � i � x ` S
� li.it..11.�1' , :, iY..,(,'�.,(_. i, i 1� I r,., l i. i,.: iiic: i.,, i,. ii. i'. i�.: 1. IY.. YI_i,�,��,V'�i�i „I�Y,� Iii r I,.. i.. i,, I,,.,, i. .,i .,.i,..,,_.i..i..��..i._i.: ,_. „..i_. i.. �__r..i i ._.
C rrfifttafr if ®xrtp�t u r :,
CITY OF PRIOR LAKE .- M1
.� ± !rjnzr ±mrn± of Puit Mzt 4ztspirfiuu
fir ; a ;
❑ Final Permitted ❑ Conditional C.O. Expires
03
" _;; This Certificate issued pursuant to the requirements of Section 110 of the El Residential / ❑ International "r.
}
Building Code certifying that at the time of issuance this structure was in compliance with the various
`' ✓ = ordinances of the City of Prior Lake regulating building construction or use. For the following: ”'
C O MMERCIAL g 12 -0836
Use Classification Bldg. No.
C3
Occupancy Type Type Construction Zoning District nN
Legal Description
Owner of Building Site Address
16180 HASTINGS AVE., SUIT: �•
Contractor's Name & Address : i 1 1 1 : 1 1 : 1 1 1. 1 1 : 1 N A 5
>- ROBERT D. HUTCH I NS City Planner
Y Building Official
tc? . Date: Date:
ST IN CONSPICUOUS PLACE
: �••�� :, ... .: ,. � :: � -: -
_ 2 ; )Z- ' - 11 .--` V", - ' `v F \ \ .. �;a / \ ./
C % OF PRIp4)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
U TEMPORARY CERTIFICATE OF ZONING COMPLIANCE tri
AND UTILITY CONNECTION PERMIT
� rNN E S °`
/ 6,6 w/ /Z . 83(o
1. white File PERMIT NO . / Z C i 24_
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 C?1 g0 1 11 35 Ala', 5 .C, PO �� C 1)4 su 106
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ...
(Name) / \ t e. K tfCk4J I (Phone) C i 51- 8 8 8 ( 193 4
(Address) 7150 FfanGe. A. Sou +11,.Suil-e )05 GIna MN 1 5.543s
BUILDER
(Company Name) A S 5 U'i aA G. e FI f Q rf 0 e C 1 d n (Phone) 74,3 8 105k
(Contact Name) .S Ovh F l +Z13 a,,}'f l L∎ (Phone) GS (- 19 8 7 0 01
(Address) 139C1 au5t1n GI fC)e f Rog/t3 MN 55374
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition MAlteration ❑Utility Connection `
CODE: ❑I.R.C. ❑I.B.C. ❑Misc: re')OCd ) 8 Spflnx L Izf /lecids
Type of Construction: I II III IV V A B J !
Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE S 1-i W 0 0
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r vok ' permit for j t cause. Furthermore, hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X G 095 8/8/) a
S' ture Contractor's License No. Date
Permit Valuation 3,600.00 Park Support Fee # $
Permit Fee $ 88 .26- SAC # $
Plan Check Fee $ 87 • 36 Water Meter Size 5/8 "; 1"; $
State Surcharge $ 1 50 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ Krim 1'
li (, n Becomes Your Building Pe t When Approved Paid 7 7 �/ B R t No. 6,6 7G (G
,ii, .0100%, 2� Date Z -� ,1 L By
Builu ngOffiicial Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
F441 tlet:T- all /ilea iuu
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
• a •
0 , P R I
CITY OF PRIOR LAKE Date Rec'd
HEATING /AIR CONDITIONING /FIREPLACE PERMIT
�j'�'N E S o��
Z1N t'/ L6 147/ / 2 -- C3 "6
2.
' pi rnk een r e PERMIT NO . G / � U /
y ``,,
3 Yellow Applicant J
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/ 0 h 5 T//VGS #9 11t .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) 71/6 LoRF n.„/A_, l' (Phone)
(Address) P. o . be K ,57 We row' /A ni /V sr fig
APPLICANT WENCL SERVICES, INC.
(Name) 8148 PILLSBURY AVFNUF (Phone)
IviiNNEAPOUS, MN 55420 -1107
(Address)
(Address) (City) (Zip Code)
(Contact Person) Jy7 /6 ' - L Lth /(/GC_ (Phone) 6 (2 —YD e- CK el
APPLICANT SIGNATURE Ae-4„ ` _ DATE r —2
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ICI ALTERATIONS
FURNACE MAKE AND MODEL FUEL A/47 GAS
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
['Warm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
❑ Mechanical ❑ Radiation into Required Side Yard Setbacks.
❑ Air Conditioning Fireplaces with Box Additions or
g ❑ Special Devices s
Cantilevers to the Outside of Buildings
['Vent. System ❑ Other Devices g
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ 3 i x 61 , 00 Building Permit #
HEATING PERMIT FEE $ 419, 5 - 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ' 50 , or, y , i f � ,
(Office Use Only)
This i Iik . tion Becomes Your Building Permit When Approved Paid s4 U 0 Receipt No. ID ‘ 747
r
L I tila•r a Z 13 7 Date By
B i i 1 . Offici. Date 03--//2... � �„�..
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PR/0 Date Rec'd
Or* CITY OF PRIOR LAKE PLUMBING PERMIT
7
rrz_Z "1
4�'NESD�� (Z S
1. Blue City PERMIT NO. /Z — 922_, 2. Gold Cit
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 6 180 ,111. -445 yE S STS zo6
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) WI /'l b-CM4,J3 C4C XV C r (Phone) 763-0 Z - 33 g7
(Address) 2534 Etsrw00 RSAGa 55
(Address) (City) (Zip Code)
(Contact Person) 4 E K. (Phone) 12-410- 4 344
c
APPLICANT SIGNATURE ,r / DATE
f3
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
_ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 326B.148 't $ da Building Permit #
"SURCHARGE" has been extended I
until June 30, 2013, PLUMBING PERMIT FEE $
The minimum surcharge for a STATE SURCHARGE $ .50
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $ 4 ha
This Application Becomes Your Building Permit When Approved Paid Receipt No. 7s e.- -
‘ 4: 7/ 5 7!
Date �'l,�3kz By .
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 /
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
_ _ �.
_.- y _�
ii
_ _. _ . _ __ _ . � . -- _
_.. - a _
- - .
- - ' -- - - —. ._.._- . . ._ . __ - - -
a - .
P . .
it
_ . -- - s a, Far.gym_ 5 - - - -
4» . ' va � _T _� _ .
-. _. 4 " - _ - - _ . . _. .
-- - _ _� . . _ ill, Far t - F. -
-' - _ - - -_ . .E _ - � s `I '" /� - -IF . - - _ .
arra, --- � /
I I, —. .- - -- — - - — _ . _ _ — — -- -- --- — — — ,_ — — -- - — . - - - --
ar
? _ - -- — - - - - - . -- - - . _ ._ .. _ . -
sal
- - - :;__ ------ -- _ _ .ar. -
�' : >
arrarra"
ar-
- - - - - -
- -
- - - - - - - - - - _. .
- Far - - - ---- .. - x - -
Far
fi . _�__
. -
. . , :
_.
-- - - -
-
, -
- . = --- - - - _ _ - -. - - - :T. . 1 - - - - -- - - . __ - _
-- - --_ _ . ,- - - -- _- _ - - -
) . _ - - - - -
-- _ ._: - _ _ v__.
i
-
u
IF &
Fra -- - ,y _.= , — al Far . _�_ — - - _ , - - � . — — — — _ F. -
_ - -
rlr�ialillrararlf
- - - - -- -- --=-- -- - -- - _ . -- .
--= - ---- - - - --- _ - -- - .
- -
- -
-- --- - - -
_ -- --- - - ----- . _- . r _ . - _ - _ - -
jdl
. _ ._ _ _ . -
- - - - - - - - ----- -- - - - ---- - -
- _ .
. � -
. z -- - - - - - - - - - - - - . - -- -- - -
IF IF _ _ _ . - -
arra+ IF
arrai
. _ -:__. -._- ._. .___. .. .W.-� _
a _ - 7 -
t Flara -ar ,l)& ._
. _ _ - - -_ - - - _ - - - - - - -
r
F.
- .. - - - - - -- - - . ._ -
. . . "a","Faral :_ _ -: F.I. - r ar-lifMarral,liarai % r arriallarlarrallar F 4 a %kil .
} ;.
• - -. -. -
. _ - ! �. - _ .- . - __•_- _
rrrr
- _ _ : - 1. I .� . . . _ i __ - - . _ _ _ _ _ vc-a - - v. -
IF
4 a
- - . . _ _
- - _ - - . -- v- 3..ua�_ - - ....- - . .
al
. e - - - - _ _ . - ... : -
- - - ._ .__:� _-_-_ . ._- .._. . _.-__._ . � .. _ -. i - - - _ . - _ -
ral
Fir
... . t _ .. � ; - _ Farrar -_ . -- _ .. . -
g :,: ..
.Fri
ar.
arala
rrr
z
IF
5 33 - � _
_. _ % - --- ---- -.-- - _: --- - __ Jq : _
> : — — — "'
3- : t - - ----
_ - - -- - -- - - - - -- -. - t- ---- - -- - -- -
-
t -
- - - . . __
. & - a - Far. _ -
_ _
_ . _ . - _ _ _ ... _ _ _ - - . . ._ _
--_ -----.- T - -
_ r., _ . _ � - . .._._ - .
- _ . - _
= _r_ E
3 . - i - , .. .:-
. _ _. _ ._...:- -._-__—__.__ - -
.-___ -. . _.. ._._ _ .. _._ ._ ti - - . / -
-_ . . ' - - - t _ . - - _ : : s ; . = ; : � - _ . - . -_- _._ --. _ - & — -_ - _ . — ._ — : -mil`_. _-_ :_. ._ .
- ,: : -. - q
l:
{ . a - - - -- . - - -
, . .aria
I . --- ---- - Frarral am I,
4 - - - - - - - - '- - J -
__
� .�
- - -t . : - - - -. _ _ ...
-.. _ _ . -
_ . _ j ala - - -
'✓
- _ —
_ _ Farrar -
- -- -r - _ _ ' _ a
_ - „ - - ralarria-Tar%FF "Iarrar _ - � # M
A I IF IF a Mar -- - -
_ . .. .
'" ®.
- _ - .. ,.�
h — --- —_ — —:—.: ._
_ — - - — — — —
s
Z '
(� -,OF I
a = .
& F r %l iiiiiiii. Pill"i If r - al- I I- -1 . -
ar
_ - ; .-_ _ _ .- - - _ -
;- . - - IF-
_ rF
Far
- _
. _ i2i ,
qrs IF
_ - - _ - Ial - -ONTa a, al-ralFararra. aralararriraia ^
- `
Fit. x :Far _ - - -- . - a
''�
. . _ _
..
IF
14
I AN
OFF
ii
— _ — — — — —
— _ -- R _ -
z
s
- -- - - - - - , , r - _ _ - - - - - - -, - Cam. _ = _
: .
-- - _ - - - -
- - - - .
- _ .. . € _ .
-
� � t .
_ :
ar-
_..- - -- -
- -
- - -
-
ll"a
ll
_ - - - - - - _
_ __ : -
- - -
_ _
- - -- - -
v � �
- - - .If
Far
ar-
1.
_._ I .._:. - - _ . __ . _ . - :_ _ . _ . : i ;
_ .._ __._ . - - _ I _..._ __ . .- Y .W _ .. [ .
. - - - . �: - - - - - � - . _ . . . . _ F. - -- tL . _ N w
- 4 - .- - . - : - - F .-- _ �. .
-_ - . - - . . --- - - - - - � y -
. . . _ . - -__ __ _ __ __ - _. . . al
-
- - -_ - -
- __-.
r _-_ _ . _ : . : -
y�
_ - - x - . . { _ __ _ - - _
y .
-- - -
::. - - - -- - - = - COm
- _ �:
- ! 5 (�
3 _. -. - - 1 - . - _ _
V . Fla
IF
Ill
. _ - . -.._. .. _ �;.-._ ._ - ._.. . e - ._. T -
- - - - - - . . - - - - - -
_ , _
_ . . a , -_ re
- - -
f
`:
k:_� <
- 3=
.I.. . A
- -- - . - -
-- ' - - - -- -- - - - _ � Ir. _ pp gg
. - -- -.- - - � _ . _ _ . - s - ---
c -.
IF -
. I I 46 . v [F
Far
dis . _,� ,
_ _.
. - .. _ Far -- - _ Q �. . s
--- - ._ _ — . 1 . - Ir � t . . F. fu £Fill
. . . _ - - . _ _- _ . _ - . - - r. - - - Q, --- . - . - - - . . _ - - - - _ . - . . _ . __ . __.
� . uJ e
ill
arra
; ./
_ _ �a41 - _
� . :
- - - - _ � :
_s _
�_.
_:_ _ - -.- .� mi .� . __ . - w. 4
al
.
h
ll
,:a , �,._ . .�_
- lFIF,,.F :Y. aill iiiiiN�
. .. -
. - - }¢ .
—_._ --_ _ _ _
__—__
- -
ROCKCuFEu BUILDING _ I . OI2.EN� CLINIC 10) Provide and install new carpet and carpet base throughout the space using a $ 18 . 00 per yd
16180 HASTINGS AVENUE installed allowance .
PRIOR LAKE, MN 17) Provide and install new 18 " square vinyl floor tiles and vinyl base in the Work Room.
FIRE PROTECTION
DULY 21 , 2012 18) Turn and drop the existing upfacing sprinkler heads down into the new suspended ceiling
throughout the suite .
PLAN NOTES . PLUMBING
19) Provide and install a new single compartment sink bowl with gooseneck faucet. Provide
CARPENTRY t
and install a sealed sump station under the sink inside the cabinet to lift the waste water
1 ) Provide and install insulation and sheetrock on the existing steel stud wall up to roof deck above the ceiling to an existing waste line overhead. Provide and install a 2 gallon
at 12 ' - 5 " and finish tape to just" above the new 9 ' suspended ceiling, electric water heater under the sink.
2) Construct a new 3 %2" steel stud, insulation and sheetrock wall from floor to 9 ' tall . HVAC
Finish tape both sides of the stud wall . 20) Tie into the existing trunk line ductwork inside the space and extend it throughout the
3 ) Construct a new 3 1/a" steel stud and sheetrock wall from floor to 6 ' -6" tall. Finish tape both sides of the stud wall . Install a tempered glass and aluminum framed transom space . The return air can be done through a plenum ceiling. Provide and install new
supply grilles and return air grilles in the new ceiling throughout the office . Relocate the
window from 6 ' - 6" up to the 9 ' - 0" suspended ceiling. existing thermostat to a good location inside the space .
4) Construct a new 3 1/2" steel stud, insulation and - sheetrock wall from floor to the steel deck ELECTRICAL
above at 12 ' -5 " tall. Finish tape both sides of the stud wall up to just past the 9 ' 4 ' high 21 ) Provide and install 2x4 standard fluorescent lights to light the space.
suspended ceiling: 22) Provide and install the light switches and outlets as shown on the attached plan.
5) Construct a new 3 %2" steel stud and sheetrock wall from floor to 3 ' - 10" tall .- Finish tape 23 ) Wire the sump basket and water heater.
both sides of the stud wall . Provide and install an oak cap with skirt molding on top the PHONE WIRING
wall. 24) Provide and install the phone jacks and wiring throughout the space as shown.
6) Provide and install birch jamb extensions, mullion strips and ranch casing around the
existing exterior windows. The double wide windows measure 6 ' - 6" wide x 5 ' -6" tall
and the single wide windows measure 3 ' -3 " wide x 5 ' - 6" tall.
7) Provide and install 3 ' - 0 " x 7 ' - 0" H. M. door frames and S . C . Birch doors . include hinges,
lever handled passage sets and wall bumper (dark bronze finish) .
8) Provide and install a new 3 ' - 0 " x 6 ' - 8 " H. C . Birch bi-fold closet door in a sheetrock
frame .
9) Provide and install a new plastic laminate reception desk with work surface . The top
transaction top should be a solid surface top (Cambria or equal) . Provide an ADA height
work surface somewhere on the desk. The front of the reception desk should have a
birch raised panel as shown on the drawing attached to the plans . Provide and install a
birch base credenza cabinet against the wall behind the reception desk.
10) Provide and install new plastic laminate covered base and wall hung cabinets .
11 ) Provide and install wood coat rod and shelf.
11B) Cut tempered glass window (24" wide x 60 " tall) with birch frame into existing S , C .
birch door. Provide and install a new push button lock on the door.
http ://www. codelocks .us/page/view/electronic c14000
SUSPENDED CEILING
12) Provide and install anew 2x2 standard 1 " grid ceiling at 8 ' 40 " high with 2x2 revealed
edge fissured ceiling tiles throughout the suite .
PAINTING
13 ) Stain, seal and varnish the double hung exterior window sashes , jamb extensions and
casing.
14) Stain the S . C . birch doors and paint the H.M. door frames .
15) Paint the sheetrock walls from floor to suspended ceiling.
FLOORING