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Special Structural Testing & Inspection Schedule
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0875 Wayzata Blvd W - 35-118-23-44-0011
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Special Structural Testing & Inspection Schedule
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Last modified
8/22/2023 5:00:03 PM
Creation date
1/6/2020 9:51:49 AM
Metadata
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Template:
Address
House Number
875
Street Name
Wayzata
Street Type
Boulevard
Street Direction
West
Address
875 Wayzata Boulevard West
Document Type
Misc
PIN
3511823440011
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SPeCial.Stractural Testuig and Inspection <br /> Program Sninniary Schedule <br /> Project Name Orono Senior Housing Project No. . <br /> Location Orono,MN <br /> Permit No, _ (I) <br /> Projia N.1e441(2) " , Type of 1 Report ASSignecl <br /> Section Article .. ...Description(3) Inspector(4) Frequency(5) _„.. Firm(6) <br /> SO."47 Concrete Reinforcement Peri-tithe " TA <br /> S0.1, ' 3.14 cast-in-Place Oinerete SI-S Periodic -TA <br /> 033000 . <br /> SO:1 • ReinfereedMaionrY ' Si-S '''''''' Pet.i4c TA <br /> SO 1 3.3 S6tural§,eer sts — • ; idi - 7 TA - <br /> 051200 <br /> SOJ . Backfill&Compaction _ Periodic • _ TA <br /> :Notes: This schedule shall be filled out and included in the SPeeial:Stnieuiral Testing and InspectiOn Program. <br /> (1) Permit No.to be provided by the Building Official. <br /> (2) " Referenced to the specific technical scope section in the program.. <br /> (3) Use descriptions per]BC Chapter 17,as adopted by Minnesota State Budding Code: <br /> -(4) (SI-T)Special Inspector‘•Technician,(ST-S)Special Inspector-Structural Engineer <br /> (5) Weekly,monthly,PecIPstrin4Pectien,Pc7 floor,etn <br /> (6) {TA)TestingAgeney: Firm contracted:to:perform serviees. <br /> ACKNOWLEDOEMBNTS <br /> Each appropriate iepresentative Abell sign beleyv.: <br /> / Firm: Date. <br /> ripv <br /> Contractor: Alp' - up Pirm: Actortifr-) Date:- sr/Trail <br /> " • <br /> 'fclf e-170c.10ATEr-> <br /> ADate: <br /> • <br /> SER. Firm:Heigq.s4*Associats Inc Date: <br /> sLs!. .,z;1111V Firm; 44i27.-,/L/4-C Date: ,' •Agr' 0/ <br /> SI <br /> FirmA' <br /> - ,60-04...rh Date / <br /> :. .f‘r/44..,, 2. <br /> „• <br /> TA: Date: <br /> If requested by onfOneeriarohitect of record or building.official, the individual names of-nii?prospective,special <br /> inspectors and The work they intend to observe shalt be identified. <br /> Legend! sER Snactund Enginees!of itceprd B7-71' ppccial Inspeictor.:-:rechnic44 TA:7 Testi!Ig Age!ley <br /> SI S Special Inspector— E;igineer. f*FabOFittei <br /> Accepted for the Building Department By Date- - <br /> _ <br />
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