HomeMy WebLinkAboutPermits 00-1009,1050,01-20,1023
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please e or rint and si at bottom
ADDRESS
41 5 I >~/\
Date Rec' d
I. White
2 Pink
.1. Yellow
File
City
Applicant
L.-L-OYV v-/OOO
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2.ADDITION
'5-r
~ e...
r:::'-'A.1t2.. V I G-W CL-I N I c...
4-1 S I 'Ai j <-LDv'/' WOOO
OWNER
(Name)
(Address)
PID 25-3
(Phone)
fJ,IZ (072-227-4
sr
~G:..
BUILDER
(Name)
tAz-L~ 0,,-\ lA.. Y/t--I G ~ L-.
283 I AL...X:::J02-\ Ll4. A V r=..
(Address)
(Phone)
SJ.
f..p I Z '8 -:J Z ~ C? cr::J
TYPE OF WORK
D New Construction
DDeck
DRe,Roofing
DLower Level Finish
D Fireplace
Misc. :ri.., ~CJIl
12.12."'100
DPorch
DRe,Siding
DAddition
DUtility Connection
DAlteration
PROJECT COST/VALUE (exc1udingland) $ 75 000
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 a t 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 pI s I am aware ~e buddmg offiCial can revoke thIS permit for Just cause Furthermore, I hereby agree that the City offiCial or a designee may
enter upo e ptoperty 7"ern m eeded mspecnons ,. I J
X HQl-1I>.., e. W....'V? ---.!!f I~_ 00
Signature Contractor's License No te
16 ax>
Permit Fee $
Plan Check Fee $
State Surcharge $
Penally $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
II-'Z.I"ZD"""'
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1'" $
,
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
0I"f. $ /, 243. (oS
TOTAL DUE iii'7.M
I Paid I 2...*?'~~
Date If= -
I ~;c~o 38&,'15'
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
is~. j/1
V L,Il',
,
Planning Director
JJLL~!~ .:::...-j~P~d~~Y~~~'
24 hout notice fot al1 inspections (952) 447-9850. fax (952) 447-4245
File
City
Contractor
Pink
O=n
Yellow
I.
2.
3.
TYPE
00-1050
MC
Permit No,
CITY OF PRIOR LAKE
16200 Eagle Creek Av, S,E,
Prior Lake, MN 55372
Multi-Family
Other
cost ($39,50 minimum)
PLEASE NOTE:
Air Conditioner Units Cannot
Encroach Into Required
Side Yard Set-Backs
Public
1% of job
$99,50
$64,50
$39,50
$39.50
$39.50
Two-Family
Fee Schedule
Heating & AC
Heating Only
Gas Rreplace
Additions & Alterations
AC Only
Industrial, Commercial & Multi-Family
Residential,
Industrial
Single Family
Commercial )(
Residential
Residential
Residential
Residential
PERMIT
I
HEATING APPLICATION
'2..- I 3-00
~/51
Block
Ownefs Name
Address
Date
Address
...L
Stte
Lot
02.
Remember to add the State Surcharge on the bottom of this application,
final inspection.
includes one rough-in and one
$35.00 each.
The price of your heating
Additional inspections will
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued,
permit
be billed at
AIR CONDmONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS,
buildi",;! Jlm!!il !!l1!!!lmr before build-
!:!fAI ! REQUIRED wtth number of supply and return openings listed per
room wtth CFM's per opening, New structures or addttions send floor plan wtth supply
and return locations shown, HEAT LOSS CALCULATI9NS;:eAYMEIIIT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PPlIDR LAKE, 16200 EAGLE
CREEK AVE. S,E, PRIOR LAKE, MN 55372, \. ~
City Hall business hours are 8 a,m, - 4:30 p.m. '~t.\' \ 1.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850 (952) 447-4245
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
Furnace Make & Model
Model Size
Conn, Load
WllLO w '5l SF:
111 ,gContraclor '~I"~T7f-- ""1F....~'.9....,.,<::-+L
'1",_73Yt:> PV"-"':I'H'/..vG./d,v #VL_.s;:,
~hone# 9:>,). -9~/-70/0
Flue Size
Fuel
Supply Openings
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Other Devices
Output
Return Openings
Input
Edr,
Fax:
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFIC~ that the work will be in accordance with the approved plan in the
f aJ whiclt requires review and approval of plans.
New Construction
TYPE OF WORK
Est. Comp, Date
....
,.
Replacement
Clm,
Merations
Repair
- - $
12.-I"~-?~
Date
Building Permtt #
7.5:00
,50
HEATING PERMIT FEE $
Date
Building OIIical's Signature
z..
Receipt #
/7.s:S?J
$
$
STATE SURCHARGE
TOTAL PERMIT FEES
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATF RECEIVED
1- (0-01
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
4151 Willow Wood Street SE
3. LEGAL DESCRIPTION
I
LOT
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name) (Address)
Fairview Rid e Valley Medical Clinic
5. ARCHITECT (Name) (Address)
t. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
0/- 0020
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO. OF STORIES
14, FLOOR AREA APPORTIONMENT USE
(Tel. No.) Prior
4151 Willow Wood St Lake
(Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
Shield Fire Protection State license CXl14 DAt..6' DEAL-
84 NE 14th Avenue, Minneapolis, MN 5541.3 (612) 379-8939
7. TYPE OF WORK Fireplace 0 Septic LJ Deck 0 Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney" Mise, Drop 22 sprinkler heads to new ceiling,
8, PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Depth Yes No
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
tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
Furthermore, I hereby agree that the city official or a designee may enter upon the property to pel10rm needed inspections.
CD14 01/10/01
x
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
1980.00
17, COMPLETION DATE
license No.
Dolo
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Baok Side Side SOIL TESTS Cl ENERGY DATA Cl
OFF STREET PARKING PILING LOGS " PERCOLATION TESTS "
SPACES REa. PLANS & SPECS " SETS
SPACES ON PLAN SURVEY " COPIES
PERMIT VALUATION 2/"""". en PLOT PLAN "
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
\ I~ A-/'f?..
, I
TYPE OF CONSTRUCTION: 1 II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ............................... .... $
(If,2o
Cf"5' , 0 \
I.DO
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mectlanical Permit Fee ..................... $
~
Sewer & Water Permit .............. ....... $
n9 Permn When !>jJfl,vo::.' 2
Date /- CJO I
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......,...........................,...... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
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 pr
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certific
City Planner
Dolo
24 hour notice for all inspections 447-9850
Special Conditions ~ any
@~
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. Blue
2. Gold
3. Yellow
File
City
Applicant
Thr {~"ntrr of lht t.ke Counln'
# On- /023
Applicant: /l?Af.T7Z.0,POL/ n'l^" A1~<::#"N/~--IL Phone: 9.,.:1 - 9'1'/- 70/(/
Address: 7 3~" _'-'SAl/N6;rD,IV ~""'..4" ,Gos.v hA,~,L. /J?A/ s;r:;>""'''V
Signature: ~ ~
Legal Description: Lot Block Sub
Site Address: ~/5:'/ W/L-UIJ_;vbtJD .sr~ ~~ E-
Building Permit # ()() - Of 007. PID # Z5-3Cff- 005 -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Sollner
I Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (lor 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
8 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family.J/. ,""',-00
(1% of job cost, $39,50 minimum) .J4/J cosr:::.~"J8SOO)(./)1 $ 1= ,-
~
Residential, New One & Two Family $99.50 $
Residential, Additions & Alterations $39,50 $
State Surcharge $ .50
GRAND TOTAL
$ las.sv
IjOl!. #-- IIl/Jl.s
This permit is granted upon the express condition that said
contractor. shall campI in all respects with the ordinances
of the State Plumbing e d the amendments thereof.
3PxQ13 Q,J.j,3{) '00 DATE
ATIEST
Call for all ins ections 24 hours in advance.
16200 Eagle Creek Av, S,E" Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
~
.~\
ThOi' ("..nlfl'rof lh. I.ake Counlr)'
W~i~ . -\B~~9
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/:' / --r-
NAME OF APPLICANT (!"d j I ')() /') j) // / A..J e... ~ tUC-
APPLICATION RECEIVED 11- 1"1 -06
'-..
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t!/5/ {!.)///O II) If..u;d \5-* -S-!:: ,
Accepted /'
Accepted With Corrections
Denied
RevieWedBY:~
Date:
tt/;z //~)
,."
~
9-.Je0 12t.9Y- "[;)\ ~tev Ke~ {. f-k>
--C]N~?_ ~ {)CLU~/' '1 P U5~ b
"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 v'alid,"
TRANSMITTAL
To: Liry dF /12/tJ/L L?9KL
/6.200 EA6~.e ~~ /lVF _ f-E-
?/l/l?/2. /d-.I<' ~ , /l? /1/ s:,- ..3' ? .:2
/
DATE
~ -8-01
JOB # 4-'$0/.3'
P.O.#
/fT;T7V! 3.E,;z/V/~ I=E/l>r-
REFERENCE ;C/9/.R Y/E"-/ -- C<-. ;/V/c.
~-~a..-"'?/r #" 00- /OSO
~ ~ ~ 00-/60'7
The following items are being transmitted:
NO, OF COPIES
DATE
DRAWING NUMBER DESCRIPTION
/
/
/- /6-01
J,1-fV r~ I
I
COPV tJF ~$Ar RF'PCl"'-7:T
C.:>? V C'"c L5'ALA'/Va::- /?e- ~~
The drawings above are transmitted as checked below:
o FOR APPROVAL
~FOR YOUR USE
o APPROVED
o RESUBMIT
o APPROVED AS NOTED
o PLEASE RETURN
COPIES TO US
o AS REQUESTED
REMARKS,
//-H"?/V"t:::: YdV /
,
~~
METROPOLITAN MECHANICAL CONTRACTORS, INC.
7340 Washington Avenue South' Eden Prairie, Minnesota 55344,3582, Phone: (612) 941,7010, Fax: (612) 941,9118
AIR OUTLET REPORT
Area Outlet CFM
Served
No, Type Size Design Prelim Final
RTU-7
Room 137 1 lay-in 6 90 99
Room 163 2 lay-in 6 90 101
Room 161 3 reg. 12/6 120 122
Room 164 4 lay-in 8 160 162
Room 174 5 lay-in 8 160 151
Room 162 6 reg. 12/8 120 112
Room 173 7 lay-in 8 225 225
Room 173 8 lay-in 8 225 241
1190 Totals , 1213
Remarks:
RTU-7 Economizer outside air intake set at 160 cfm minimum.
Project: Fairview Ridge Valley Medical Clinic Number: 43013
System Unit: New RTU's Area Served: Clinic
Test Date: 01/0 I
Report Date: 01/01
Readings By: ],S,
METROPOLITAN MECHANICAL CONTRACTORS, INC, Page 2 of2
7340 Washington Avenue South' Eden Prairie, tvlinnesota 55344-3582. Phone: (952) 941-7010. Fax: (952) 941-9118
AIR OUTLET REPORT
I Area I No, Outlet I CFM
Served I I
Type Size Design Prelim Final
RTU-5
Room 159 lay-in 10 280 299
RTU-6
Room 161 I lay-in 8 130 121
Room 166 2 lay-in 8 120 122
Room 167 3 lay-in 8 120 112
Room 168 4 lay-in 10 300 276
Room 168 5 lay-in 10 300 274
Room 172 6 lay-in 8 120 120
,
Room 170 7 lay-in 8 120 107
Room 162 8 lay-in 8 130 119
Room 109 9 lay-in 8 180 162
Room 106 10 lay-in 8 200 170
Room 106 11 lay-in 8 200 174
1920 Totals 1868
Remarks:
RTU-5 Economizer outside air intake set at 120 cfm mininum,
RTU-6 Economizer outside air intake set at 280 cfm minimum,
Project: Fairview Ridge Valley Medical Clinic Number: 43013
System Unit: New RTU's Area Served: Clinic
Test Date: 01101
Report Date: 0110 I
Readings By: 1.S.
METROPOLITAN MECHANICAL CONTRACTORS, INC. Page I of2
7340 Washington Avenue South' Eden Prairie, !vtinnesota 55344-3582' Phone: (952) 941-7010' Fax: (952) 941-9118
p..tv- b HOUSE HEATING TEST RECORD
ADDRESS FA)p..Vlf,vJ RIDGE VALlE.'1 fUNI[
OCCUPANT Lj '" I WI U IJ...JJWOD() .,-r; ~
HEA T LOSS DA TE HTG, INST,
SOLD BY P'JE:7?lO. P?~~. INSTALLED BY lY1~r~,/H~,
Electrical Work By If"'- Ga. Lin. By /i'!€7"7U', /YIiI!.GhI.
TYPE OF HEAT GA FA _HW _STEAM _SPACE HTR, _UNIT HTR, __OTHER
APT, _~OOR _CITY 'p'ut~ SUBURB
OWNER f'-~/"-I/I<E"""
. . GAS DESIGN
MAKE C';"12R.\t::'lt. 1((1()I=-TOP
Mod. I '-tgTI=~()f)b S-()I
S..I.I :s non (::r 2h /"1-
INPUT Jl'5: 1(1 OeJ
CONVERSION
MAKE OF BURNER
Mod.1
Max. BTU Rating
MAKE OF FURNACE
. Mod.1
CONTROLS
THERMOSTAT H... Plug
V.I.. l:.'::~2QB2.0 \
Limit .
Limit Setting /~
Fan Sottlng "/"'It;' naA'f ~O
Plla.Typo ()IR..J;:CT "p~"
Pilot Mak.
Pilat Modol
P ilo. Timing
L, W, Cu, Off
Pr.ssure 3. ~
Inpu' CFH -
Stack remp--,,-
.
'V.nt Size
, KIND OF LINER
Draft Hood.
. Filt';~ Si~"
, o,lmney Location
a..l~ney Construction
SIZE NONE
Regularor
tr.4umb.r
Insid. Outside
~(
W,(,
Percent CO2 ~ 0/6
. Por..n. 0 4 (;/(1
Percent C02 0
Form 235
p:rv-1, HOUSE HEATING TEST RECORD
ADDRESS {If/LV /I!YV /4 OG.IE' /J;.} i/...e. y r!.tJI-/ /G APT, _FLOOR _CITY P, .!A.e~UBURB
OCCUPANT /.f1S7 lIVIL'-"'.vJV4eJL> !:T, S IE OWNER r::HIfl- v/~ ......
HEAT LOSS DATE HTG, INST,
SOLD BY p?~~. M~, INSTALLED BY /"?4:Tn<J, MIE.eh'.
Electrical Work By x/V r Ga. Lin. By /"?,,,;:;rn.(;), ML.e;-,s,.
TYPE OF HEAT GA FA _HW _STEAM _SPACE HTR, _UNIT HTR, _OTHER
CONVERSION
MAKE
Mod.1
~~ll:\~ GAS ~~GN !1)~
~ E: 001. - ~ ;4
Sori.1 4<:;,o,~Cr2.'t'3Gg
INPUT / 000
MAKE OF BURNER
Mod.1
Max. BTU Rating
MAKE OF FURNACE
Mod.1
CONTROLS
THERMOSTAT H... Plug
V.I.. t:.F= ?, "2 (' R2.0 I
Vent Size
KIND OF LINER
Draft Hood
Filt.,. Size
e, imney Location
o,jmney Construction
SIZE
RegulaTOr
Number
Insid. Outside
NONE
Limit
Limit Setting /6 ~f
F.n Sotting 2,0 ~(
PHa' Typo () 1P-CJ.1;
Pilot Mak.
Pila. Modol
Pilot Timing
L, W, Cu, Off
Pressure .] I~ W( c..
Input CFH
Stack Temp.
Form 235
"PAR. \.(
Percent CO2
Percent O2
Percent CO
'1';:
'-IJ:..
n
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
00.. Tn..d l- /~ I ~
Company Tooting c: 7y,~ m,___~ .P.......
Nom. .1 Tn'.' ~ .~ ell'
-~ ~. ..~n ,~, I U nil r nLnJH"HI'll lil H:;':;ut: I I'll;
FAX NO. 3375325
p, 02
J!I!'SAMI . ASSOCIATES, INC,
CONsVLTING E~INEERS
January 8, 2001
Mr, Thomas Shamp
C.rlson,LaVine, rn~,
2831 Aldflch Avenllc South
Minneapolis, M)I 55408
Re: .faintew Prior Lake Clinic
PAl 95005 f 501002
Deer l' om:
At your request, IVe have reviewed the eXIsting builging snllcturnl drawings and calculations with the purpose of
investigating wind bracing along the south wall, You have indicated two new Windows are to bc added along
this wall near the southeast oomer, One of these windows interferes with elUstin: flat..trap wall bracing,
w. have examined tnc full set of structural drawings we have on lire for this budding, whIch was designed by
our office in 1995, The drawings and the ~orresponding structural calculations show rhat the wall bracing
installed on the north [opposite) wall was designed to resist oU wind load in the e.st-west di",ctiun. Two
bra~ings were provided on the south wall'to resist totation of the building diaphragm, This was done "ith future
building expansion along this south wall in mind,
Removal of one of the diagonal bracing. on the south wall will not compromise the structural integrity of the
lateral-load resisting system, The seconcl wind brace near the southeast comer will provide the stability required
to prevc;nt rotarjon.
Wi: rCL:ommend that if this bracing is removed. the owner's set of .structural draw-inlllS shall be marked to indicate
such removal, Please notify liS if and when this bra~ing is remov.d, so that we can mark our record Sel of
drawings, Furthermore, the structutal designer of the future expansion shan be responsible for analyzing the
lateral-load-resiSting system of lhe entire buddinI/:. without this bnlcing instaned.
Plcas~ call if Y01,.l have questions, Or i!we ,=a.n be Df furtht:T aSs,l,stat1Ce,
Sincerely,
l'aJanlsami & Associates. IDe.
William J. Kaufmann, P,E,
5661 International Parkwcy. Minr,eopolis, MInnesota 55428. (612) 533-94OJ. FAX (612) 533-9586
20 'd
9v692Le219 'ON Xijj
'ONI '3NI^ijl-NOS1~ijO
90:21 NOW 10-8o-Nijf
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if; 00 ':P
,\ VI 0' ,D
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To: L../TY OF ,P/LtOI2... j...4k€,
/0';;00 ,e/l6~~ C~.eA:' //1/.5_.5_E,
DATE
~t.C \ I. ~
1;2 -1.3'- (:Jo
fr
\'
TRANSMITTAL
JOB II
t,' JOIJ
P.o.#
j7;z.../t:)J'l.. LAt<.~, /J?/f/ SS-37')"-/7/</ REFERENCE r;?/A.. V/E:V</ LL//v,;C::
/17770/,' /3?VL.. LJ/9 t/;?6.-9 /2//V L /Z.
~/S/ t-V/L~...--QQ~ s r;: f_.r_
The following items are being transmitted:
NO. OF COPIES
DATE
DRAWING NUMBER
DESCRIPTION
;2..
/.;1./9/00
, I
/?1-/
)Ii/A c
j)./U'f h/,;....v 6 S ?/ / 7"'i"-7'
e.AJ'6/^,EE"/?- 5 .J"'7?9-"?.P,
The drawings above are transmitted as checked below:
Oit FOR APPROVAL
~OR YOUR USE
D APPROVED
D RESUBMIT
D APPROVED AS NOTED
D PLEASE RETURN
COPIES TO US
D AS REQUESTED
REMARKS,
PL-~.5L. <GJI-L-L- /~ y.?V
6lt/L.sT/<J,vS.
(/2/"''''- /b~/l-
//04 V.e:.. AlA/' V
9/~- 3..20.;4)
7:44-.1:: Y<:?V',
~~
METROPOLITAN MECHANICAL CONTRACTORS, INC.
7340 Washington Avenue South. Eden Prairie, Minnesota 55344-3582. Phone: (6l2) 941-7010. Fax: (612) 941-911B
~
DO - looq
White - Building
Canary - Engineering
Pink - Planning
The ('..nln of Ihe L.k.. COUnl1')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (la;-.!S()tJ La 1/ /IU e.., ~ /./C--
APPLICATION RECEIVED //- /J-Od
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J.j/Sj /JJ/Jlo tV iUO()d .sf: SE- r
Accepted '><
Accepted With Corrections
Denied (}Q(l Q
Reviewed By:
y
Date: If ~ '2.(-~
Comments:
I. Se~ 1=",,,,,- '59'"'I...\..~ '\>.-.....:\. ~,
"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,"
TRANSMITTAL
To:
t::-ITY eJ1= ?~tfJ/l. L!~~
DATE
//-o:J8-00
I 1;200 E""6L.~
C/l#"~.c Ai/~, ~...E~
lOB.
L,/j'O/J
P.O.#
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REFERENCE
,F/J / n. 1// IE:-
c:::.L-/A//t:::
/!77n/.' ,A.V;1Jf,B/.-.J6 JIV./,P, .tf)4/,r.
The following items are being transmitted:
NO, OF COPIES
DATE
DRAWING NUMBER
DESCRIPTION
d-
I
//~e/.O
I
1/ /.H:/OO
, ,
MCJ/
?LV/!4,$//\/<'::' ?4AN
.P..t€ /2 /"'l I;r- tfI'9 p,pL / c..-f 77 d .ov'
The drawings above are transmitted as checked below:
C8C.:.OR APPROVAL
o APPROVED
o FOR YOUR USE
.~
o RESUBMIT
o APPROVED AS NOTED
o PLEASE RETURN
COPIES TO US
.
o AS Rf,QUESTED
REMARKS,
/l. c;AS ~ ~.<-L /"L ,Y.?V ,hi/'?- V ~
-"9--"\/ y at//.s77".-v./~
METROPOLITAN MECHANICAL CONTRACTORS, INC,
7340 Washington Avenue South. Eden Prairie, Minnesota 55344-3582. Phone: (612) 941-7010. Fax: (612) 941-9118
'" ,. . '.
~~
While - Building
Canary - Engineering
Pink - Planning
Thf ("fnlfr of thf Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT =-'t11 E. L D FI K E.IJ RCTECIl (' N
APPLICATION RECEIVED I -I C - C I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-/51
Accepted /{
WI Uj) v\il\JCCD S (
ss
Accepted With Corrections
Reviewed By:
Comments:
, ,
)/- )
\/
/ I'
,/ \
,'1>/k~-~\
ti"
Date:
I. (C'? (. () 1
t
Denied
\ Nc
,--I ( ,
l"u,J~
,
,
t, ~ (c(
I\,rti/.yi('{"o' (
I
o )P;
\ - ,
~/
"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 pro':fi)iions of this code or other
ordinances of the jurisdiction shall not be valid," ~ I '
i
-..--'
~~
White . Building
Canary - Engineering
Pink - Planning
Thr ('rnlrr of lhf I..k, Counll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT =*\ I E LD Fl R5 E1<.OTE.CMflbL
APPLICATION RECEIVED I -I 0 - tJ 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
+151 WJL..LOV\!\NOOD 51
SE:
Accepted With Corrections
Reviewed By:
Date: I ~ 1(, -200 I
Comments:
.
r
te(~
I. No
p/~
Rc.u l'~
i "'-<fie r. 'c^-<- ~.
"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,"
JUl-,28,2000 12: 17Pt'\
"Il'lC
I'IQ,907
P,I/l
GOODIN COMPANY
we-I. WATER CLOSET
CRANE 3-854E COMBINATION WATER CLOSET, WIDTE
. CRANE 3-154E VITREOUS CHINA BOWL, 17v.." HIGH, ELONGATED RIM,
. FLOOR SET/ FLOOR OUTLET, SIPHON JET, WHIRLPOOL WASH, LESS
SEAT, ADA COMPLIANT
. CRANE 3-544E VITREOUS CHINA TANK, 1.5 GPF, GRAVITY FLUSH,
LEFT HAND TRlP LEVER, MAKES COMBINATION A 12" ROUGH-IN,
LESS SUPPLY
GOODIN COMPANY
LV -I, LAVATORY WALL HUNG - ADA
CRANE 1-412VHARWICH WALL HUNG LAVATORY, WHITE
. VITREOUS CHINA, 20" X 18"
. 3 HOLE INSTALLATION DRILLED FOR 4" CENTERSET FAUCET
. DRILLED FOR CONCEALED ARM CARRIER
. ADA COMPLIANT
DELTA SOl SINGLE LEVER LAVATORY FAUCET, CHROME
. 3 HOLE INSTALLATION - 4" CENTERSET
. LEVER HANDLE,
. AERATOR 2.0 GPM @ 80 PSI
. LESS DRAIN
BRASS CRAFT CR-1912-KC OVAL HANDLE ANGLE STOPS & RISERS
. y," COPPER COMPRESSION INLET, 3/8" O.D. COMPRESSION SUPPLIES
DEARBORN 760 GRID DRAIN WITH 1-1/4" TAILPIECE
DEARBORN 70IDF 1-1/4" 17 GAUGE CHROME PLATEDP-TRAP
TRUEBRO #102W HANDI LA V-GUARD INSULATION KIT FOR TRAP
. AND SUPPLIES
GOODIN COMPANY
5-1. NURSING STATION SINK
,
,
,
ELKA Y PSR-1716 PACEMAKER SINGLE BOWL SINK
. SELF-RIMMING, 20 GAUGE-TYPE 302 STAINLESS STEEL
. FAUCET LEDGE - SPECIFY FAUCET HOLE DRILLING
. 17" LEFT TO RIGHT, 16"FRONTTOBACK
. 7'1." BOWL DEPTH, 3 \/''' DRAIN OPENING
CHICAGO FAUCET 895-317 TWO HANDLE SINK FAUCET, CHROME
. 3 HOLE INSTALLATION - 4" CENTERSET
. GNIA GOOSE NECK SPOUT WITH 3\/," REACH, E3 AERATOR
. 3174" WRIST BLADE HANDLES
BRASS CRAFT OCR-1912-A OVAL HANDLE ANGLE STOPS & RISERS
. y," COPPER COMPRESSION INLET, 3/8" O.D. SUPPLIES
ELKA Y LKJ-35 3\/," STAINLESS STEEL BASKET STRAINER
. I \/''' TAILPIECE
DEARBORN 704-DF 1-1/2" 17 GAUGE CHROME PLATED P-TRAP
GOODIN COMPANY
5-2. EXAM ROOM LA VA TORY
CRANE 1-412V HARWICH WALL HUNG LAVATORY, WHITE
. VITREOUS CHINA, 20" X 18"
. 3 HOLE INSTALLATION DRILLED FOR 4" CENTERSET FAUCET
. DRILLED FOR CONCEALED ARM CARRIER
. ADA COMPLIANT
CHICAGO FAUCET 895-317 TWO HANDLE SINK FAUCET, CHROME
. 3 HOLE INSTALLATION - 4" CENTERSET
. GNIA GOOSE NECK SPOUT WITH 3 y,' REACH, E3 AERATOR
. 3174" WRIST BLADE HANDLES
BRASS CRAFT OCR-1912-A OVAL HANDLE ANGLE STOPS & RISERS
. y," COPPER COMPRESSION INLET, 3/8" O.D. SUPPLIES
DEARBORN 760 GRID DRAIN WITH 1-1/4" TAILPIECE
DEARBORN 70IDF 1-1/4" 17 GAUGE CHROME PLATED P-TRAP
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS --4LSJ W,'lIowwoeJ... S+-,
NATURE OF WORK r"'1:~tOT" RIA.'~
USE OF BUILDING CI-r.... Ajl-...
PERMIT NO, ()O' / 0!J::f- DATE ISSUED II -21- 00
CONTRACTOR (\...l~", LO'Vt...... (.1'2- ~~'2.-~e-e J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
.~~J /h, 13/~';'(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I '
FRAMING
'INSULATION
ELECTRICAL
PLUMBING , vile
HEATING (if required)
, 1'z/'l.~/dD
D I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
" FINALS
BUILDING tl),-:{,J...,
ELECTRICAL
PLUMBING
HEATING
DO NOT
roc..
OCCUpy UNTIL ABOVE HAS BEEN
NOTlC'J;
This card must be posted near an electrical service cabinet prior to...:,(ough-in inspections
and maintained until all inspections have been approved, On buil\!ings and additions
where no service cabinet is available, card shall be placed near main entr~,
.,\:'i'~
Call between 8:00 and 9:00 A,M. for all inspections ~',,;_.
-,,~
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lf/5/
OWNER
SCHEDULED
DATE TillE
'lz4oc{ A -::;-,
~ .Jt.,
.
tJz/~~
CONTR, ~So,.J l..f!>..V;to:>b
PERMIT NO, ~;....." OIJ _100'
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(/~(J
~ .#:;..
CJO - No'}
00 -jtj ~tJ
()o - ~O Z:t
() I - tJ '2,.0
.
IJ~.A~.......I
~_L_ ::.,JJ
Z6~~
)4 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ · Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
IJIiSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/-3/-01 /: 30
ADDRESS
L//s /
,
W, /to"-) JL~ S-t-
OWNER
CONTR,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
PERMIT NO, ()J- 662D
o -Ioo'j'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PHONE NO,
COMMENTS:
Sp\'tiA~ \:t~
noc.) ~t- ~ ~
c.a.u ):;, Aep".:, -2.A..-..t-
/'7 S G - 'Il/>-;- 785 <)
-
o WORK SATISFACTORY, PROCEED
o CORREC ION ANO PROCEED
~ CO CT WO ALL FOR REINSPECTION BEFORE COVERING
Inspe
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
3hz/o, 9:00
ADDRESS
'1/5/
WILLOW WooD
ST',
OWNER
CONTR.
PHONE NO,
PERMIT NO,
a, - /00'7
~OOTING
lJ FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ,~o,. ~ '
(() NoCJ J2 '/-0 ~ J;? ,~.n-:fL ~
~ ~~ ..--d-- ~ po-J-d1
@trIz.- ~ ~ oJ- ~~~
~'j~~~,
o WORK SATISFACTORY, PROCEED
)ll'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
'1ir,
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
<(/5/
OWNER
SCHEDULED
DATE TIME
1/2./0 I
f I
I(): 'S cJ
.
tJILL07.J~
CONTR,
PERMIT NO,
PHONE NO,
o FOOTING
o FOUNDATION @
o FRAMING
.l8:'INSULATION
,... 0 -FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
eJ-I(jo'j
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~:MMENT~ ~ ~'!:l~
6J$t;L:;5~.
rf
~ (I.btXA.
~,
fL
('~~
!old
o WORK SATISFACTORY, PROCEED r~ :-e:;;;~' w
~CORRECTACTIONANDPROCEED ~-~-- - ,~ .J
10' CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ' ~.
Inspector: ~ 1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE t"> J L
INSPECTION NOTICE SCHEDULED I~? 0 a ., ; 3 a
ADDRESS L/ / s- ( 00 (J'l,.J 0w.. .1-r-_
OWNER F~ J~ ~ CONTR,
PERMIT NO,
M ~ PLUMBING RI
f-:f5) 0 MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
0-/0"'''
.r11- In? 3
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: U, 0,
m~~~L.v-lo~~
@~~~~r ~
~ oj,p...Q.
~dA~ A,fly,
s:- A:T: ~,.,.ji ,
o WORK SATISFACTORY, PROCEED
l! CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4/5/
OWNER
DATE TIME
SCHEDULED rz/z '1/0 0 /().'30
W /L La L2J t.JCJd()
CONTR,
PERMIT NO,
() - 1009
PHONE NO,
o FOOTING
o FOUNDATION{fj
~ FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CO..ENTS, 7:{; J.m,,<<€
~~ 4.'~~ ~~~
~ !
(~~~~ ~~ j1J~~
@) p ~~ ,rv- "/:t ;?, I,
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT ~LL FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
!/'iSHOT!
ADDRESS
'1IS/
DATE TIME
SCHEDULED ~ It): 50
tJ~~.df, S,t:/
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR,
PHONE NO, PERMIT NO,
o FOOTING @J{ PLUMBING RI
o FOUNDA TIO~ fI( MECH RI
FRAMING r.!:/ 0 WATER HOOKUP
~INSULATION vJ/~ 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
t'J - /(]O;
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
A,R.
tyfv -f.. ate A.u-- I ~ rra I~ 4
~'~-"+' ~.~Ttt.
~, ~ ) fl.:.o \'-/0'1 n C;;~r
o WORK SATISFACTORY, PROCEED 5"ti- f~, ~ ~~
"p CORRECT ACTION AND PROCEED ~ - ~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE 'COVE~
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lN8/'10Tl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
1-/(,,-01
SCHEDULED
'2-: 00
ADDRESS ---A/51 W IL"GOWWOOD
OWNER
CONTR,
PHONE NO,
0-1009
PERMIT NO,
o FOOTING
o FOUNDATION
~RAMING @
INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP~ 0 FIREPLACE FINAL
)( PLUMBING FINAL 0 GASLlNE AIR TST
~ MECH FINAL 0
COMMENTS:(D '7 ~ f.-&.r ~ ~-
~. v
~
rl.... c.--
4fo~.
o WORK SATISFACTORY. PROCEED
1 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ { Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
r
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
1-3\-O( J:3.b
41 S I \N (L,L.-O N V\J ooD
CONTR, Frtl 'f2-JJ ( ~
PERMIT NO, 0 - I DO q
SCHEDULED
ADDRESS
OWNER
PHONE NO,
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
\i( FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
10 SITE INSPECTION 0 MECH FINAL 0
~. p~ ~tJ-\OSO
COMMENTS: A'~'j " ...... O-~
m~_ ~j'
~~
Inspector:
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
?-'2Le
1.J:((dr..." IE,.>----Q
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
f.//c;/
,
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
jl-,
O/-co'2.0
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
-spASLINE AIR TST
fi _f'M
C /'(l/a.(
^
~
WORK SATISFACTORY
o CORRECT A ON PRO EED
o CORRECT REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Inspector:
CALL
msNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Pt.- OO~ 1023
MINNESOTA DEPARTMENT OF HEALTH
DivisiDn Df Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing:
Prior Lake, SCDtt County, Minnesota, P an
:'.,f51 Willowwood Street SE,
OWNERSHIP:
SUBMITI'ER(S): MetrDpDlitan Mechanical CDntractors Inc" 7340 Washington Avenue SDuth, Eden Prairie,
Minnesota 55344-3582
Plans Dated:
Date Received: November 29, 2000
Date Reviewed: December 12, 2000
SCOPE: This review is limited tD the design Df this particular project Dnly insDfar as the provisiDns Df the-)
MinnesDta Plumbing CDde, as amended, apply, and dDes nDt CDver the water supply Dr sewerage system tD whWh
this plumbing system is cDnnected, The review is based upDn the suppDsitiDn that thefclat?t Dn which the design is
based are cDrrect, and that necessary legal authDrity has been Dbtained tD CDnstruct the project. The
respDnsibility fDr the design Df structural features and the efficiency Df equipment must be taken by the project
designer, Approval is cDntingent upDn satisfactDry dispDsitiDn Df any requirements included in this repDrt,
Special care shDuld be taken tD insure that the material and installatiDn Df the plumbing system are in accDrdance
with the provisiDns of the MinnesDta Plumbing CDde, A copy of the approved plans and specifications should
be retained at the project location for future reference,
A set Df the identified plans and specificatiDns is being returned tD MetrDpDlitan Mechanical CDntractDrs Inc,
Enclosed is a CDPY of the repDrt and transmittal letter tD be fDrwarded tD the project Dwner,
..-I
INSPECTIONS: All plumbing installatiDns must be tested and inspected in accDrdance with the requirements of
the MinnesDta Plumbing CDde. As specified in 'MinnesDta Rules, part 4715,2830, nD plumbing wDrk may be
cDvered priDr to cDmpleting the required tests and inspections, PrDvisiDns must be made fDr applying an air test
at the time Df the roughing_in inspectiDn as Dutlined in MinnesDta Rules, part 4715.2820, subpart 2, Df the cDde,
A manDmeter test, as specified in MinnesDta Rules, part 4715,2820, subpart 3, is required at the time Dfthe
finished plumbing inspectiDn. It is the respDnsibility Df the cDntractDr/installer tD nDtify the State Health
Department when the installatiDn will be ready fDr a test and inspectiDn. TD schedule inspectiDns, cDntact the
state plumbing standards representative fDr YDur regiDn, Dr call the metrD Dffice at 1-800-926-6216, Dr Gary TDpp
at 651/215-0841.
REQUIREMENT(S):
1. ND mDre than six exam sinks may be served by a 2-inch drain branch (see MinnesDta Rules, part 4715,2300
and part 4715,2310), The existing drain branch which will serve the new sinks must be at least 2112 inches in
size and must be sized tD accDmmDdate all fixtures served,
2, DDuble wyes may nDt be used fDr drainage fittings in the hDrizDntal pDsitiDn (see MinnesDta Rules,
part 4715,2420, subpart 3), Proper pipe slDpe cannot be maintained Dn bDth Df the Dffset branches,
3, The vent pipe Dpening from a SDil Dr waste pipe may nDt be below the weir Df the trap, The fixture drain
lines must CDnnect tD the vertical sanitary drain with a tee cDnnectiDn rather than a wye cDnnectiDn as
indicated in the waste and vent riser diagrams (see MinnesDta Rules, part 4715.2620, subpart 2),
Fairview Ridge Valley Medical Clinic
Plumbing
Plan No. 011641
Page 2
December 12, 2000
4, It is recommended that a cleanout be provided where new waste and vent piping connects with existing
plumbing to facilitate required testing of the new installation,
5, Materials used for water distribution piping must comply with Minnesota Rules, part 4715,0520, All solder
and flux used for the potable water distribution systems shall contain less than 0,2 percent lead, Use of
50-50 solder or flux containing more than 0,2 percent lead is prohibited in potable water distribution systems.
Any solder other than 95-5 tin-antimony or 96-4 tin-silver must be specifically approved by the
administrative authority prior to use (see Minnesota Statutes, Section 326,371),
6, Materials used for drain, waste, and vent systems must comply with Minnesota Rules, part 4715,0570
through part 4715,0600, If plastic pipe is used for the drain, waste and vent system:
a, ABS plastic pipe shall comply with ASTM Standard D 2661 or F 628,
b. PVC plastic pipe shall comply with ASTM Standard D 2665, D 2949 or F 891.
c, It must be installed in accordance with Minnesota Rules, part 4715,0580(F) and part 4715,0600,
Above-grade horizontal runs of plastic waste and vent pipe cannot exceed 35 feet in total length,
Above-grade vertical stacks constructed of plastic pipe may exceed 35 feet in total height only if an
approved expansion joint is used.
d, Solvent weld joints in PVC and CPVC pipe must include use of a primer which is of contrasting color to
the pipe and cement (see Minnesota Rules, part 4715,0810, subpart 2),
7, Verify that the existing water supply and waste systems are sized to accommodate the added fixtures (see
Minnesota Rules, part 4715.3800 and part 4715,2310),
8, The plumbing system shall be tested in accordance with Minnesota Rules, part 4715,2820,
9, The water piping system shall be disinfected in accordance with Minnesota Rules, part 4715.2250,
NOTE(S):
1. The scope of this project consists of the remodeling of an existing building. The plumbing installation
includes restrooms, exam sinks, and nurse station sinks,
2, This facility is served by existing municipal water and sewer service connections,
Authorization for construction in accordance with the approved plans may be withdrawn if construction is not
undertaken within a period of two years, The fact that the plans have been approved does not necessarily mean
that recommendations or requirements for change will not be made at some later time when changed conditions,
additional information, or advanced knowledge make improvements necessary,
Fairview Ridge Valley Medical Clinic
Plumbing
Plan No, 011641
Page 3
December 12, 2000
Approved:
.%.eAJ; c:c:;L
Bradley C, Erickson
Public Health Engineer
Environmental Health Section
P,O, Box 64975
St. Paul, Minnesota 55164-0975
651/215-0853
BCE:rdp
cc: Project Owner
Metropolitan Mechanical Contractors Inc,
Mr. Robert Hutchins, Plumbing Inspector
Plumbing Unit
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Ii FAIRVIEW RIDGE
!;i~ MEDICAL CLINIC
:1,E2I 4151 WILLOWWOOD ST SE
II PRIOR LAKE, MN 55372
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