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Minnesota Department of Labor and i�dustry <br /> Construction Codes and Licensing Division <br /> Building Codes and Standards ����� CO�� <br /> 443 Lafayette Road N.,St.Paul, MN 55155-4341 <br /> Phone: (851)284-5068 Fax: (651)284-5749 <br /> www.doli.state.mn.us 1TY: (651)297-4198 <br /> Special Structural Testing and Inspection Program Summary Schedule <br /> Project Nsme Freshwalcr Bu.iness C'enier Project No. <br /> Location 2500 Sha�ood Road, Orono MN 55331 Permit No. (1) <br /> �- �— - .� �.. ,�.� <br /> � Technical_(�_._ Type of Specific Report Assigned <br /> Section_ Article Description (3) __ _ Inspector(4j _ _ Frequency_i5) ___ ___Firm{6) <br /> _ __� <br /> 1705.2 Weldin�___ SER Periodic HavTek � — <br /> — _.__._ .__ _.._____ _ . <br /> __---___ ----__� _— _. _ ---- <br /> 1705.2 Hi�h-Stren h Bolts SER Periodic HavTek <br /> __ __.____ ..___ _ <br /> - ____ -- <br /> 1705.3 Concrete Reinforcement SER Periodic HavTek <br /> —_ _ __.__ -- __... _._...__. <br /> 1705.4 __ Masonr�Construction SER Periodic HavTek <br /> _. _... __...�_ r __ -- — --- <br /> __ -- <br /> 1705.6 Soils SER Periodic HavTek <br /> __._... ---------- ____ <br /> �_ __ <br /> � .6 Concrete Strength Test TA Periodic Braun Intertec <br /> Note: This schedule shall be�Iled out end included in a Special Structural Testing and Inspection Progrsm. <br /> (If not otherwise specified, assumed program will be"Guidelines for Special Inspection�Testing"as contained in the <br /> State Building Code and as modified by the state adopted IBC.) <br /> "A complete specification-ready program can be downloaded direcUy by visiting,CASE/MN at www..cecm.org* <br /> (1y Permit No. to be provided by the Building Officisl <br /> (2) Referenced to the specific technical scope section in the program. <br /> (3) Use descriptions per IBC Chapter 17,as adopted by Minnesota State BuiJding Code. <br /> (4) Special Inspector-Technical(SIT); Speciai Inspector-Structural(SIS) <br /> (5) Weekly, monthly, per tesdinspection, per floor,etc. <br /> (6) Name of Firm contracteci to perform services. <br /> ACKNOWLEDGEMENTS <br /> ,; � � + �Each appropriate representative shall sign below) <br /> ,.- . <br /> ; `�__f� <br /> Owner. . <br /> �' �" ' �,,,_. Firm: UGORETS 9098LLC Date: 7-7-2016 <br /> / L- _, <br /> _ __ _ <br /> Contracto � f �� �� �--' Date:7-7-2016_ <br /> - _ Lr_ _�' __._ ' Firm: UGORETS 8098LLC <br /> __ ___ _ _.._— <br /> Architect: � <br /> _ _ — Firm: WILKUS aRCHiTECTS Date: t JUl 16 <br /> -- -- __.�� <br /> _ ----- _..__. _ <br /> SER:�,� Firm: Hav"1'ek Stnictural ConsuVUng Ud. Date, 7-/�1 <br /> __ _...--._ <br /> SI-S: Firm: <br /> _. _ --------_ Date: <br /> _- _ <br /> --- - <br /> SI-T: T�- - <br /> Firm: Date: <br /> , , _ -- -- <br /> TA: <br /> _ ,�,� ,.?�,-f ie_.__ Firm: Braun Intertec Date: -�� <br /> , __ ------._ / <br /> _.._�_ _. r <<_.-- <br /> F: ` `� � � -- <br /> If requested by engineer/architect of record or building official, the individual names of all prospective special <br /> inspectors and the work they intend to observe shall be identified as an attachment. <br /> Legend: SER =Structural Engineer of Record SI-T=Special Inspector-Technical TA=Testing Agency <br /> SI-S= Special Inspector- Structural F= 1=abricat <br /> Accepted for the Building Department B � ' ( ��U <br /> Y: G�`� �-e�%�'�_ __ _—_ Date � � <br /> OS/07 PR598 <br /> �5�v .Sl��'y ��d .� �c���-o o� a7 <br />