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Home My WebLink About2016-01148 - addn/remodel/repair • CITY OF ORONO * 2 0 1 s - 0 1 1 4 e * . ' 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2016 ORONO,MN 5535b- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3333 SHORELINE DR PIN : 20-117-23-11-0024 LEGAL DESC : REG.LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR VALUATION : $ 300,000.00 NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) INTERIOR REMODEL -PHASE II(SAC ALREADY PAID ON REMODEL PERMIT#1 PERMIT#2016-00956) �� APPLICANT PERMIT FEE SCHEDULE 2,369.92 STATE SURCHARGE(VALUATION) 150.00 CARLSON-LAVINE,INC. 2965 PARTRIDGE S.A.C. 0.00 ROSEVILLE,MN 55113 TOTAL 2,519.92 (651)303-8762 Payment(s) CHECK 69234 2,519.92 OW1vER ., Lunds Food Holding Inc. 4100 W SOTH STREET#2100 EDINA,MN 55424 AGREEME1vT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are /�n" requested in conformance with the State Building Code.This permit may be � revoked at any time for due cause. �--•--� -�- � �__, -''�-- � .2� ,I� l �-t�� /d �� Ap c t Pe ' ignature ate Issued y Signa re Date � � s � CITY OF ORONO BUILDING PERMIT APPLICATION ,� FOR NEW STRUCTURES OR ADDITIONS �i �l� �� O� Mailing Address: Permit number: t r� g O � PO Box 66 _ ` �,�L Crystal Bay, MN 55323-0066 Date received: ' '-z C'' V 1 � . �1 ��J Received b � �-- '� �\$\\� Street Address:' ' O �_---�.-_._____.__-__-_-- y�. G� �0 � 2750 Kelley Parkway � C�� Plan review fee: i r� � ��kFSHo�� Orono, MN 55356 Main: 952-249-4600 Total Fee: Fax: 952-249-4616 www.ci.orono mn.us _ �c7 � This application form must be completed in full and all required information must j2e�mitt� �-�x��. Incomplete applications will be returned. (Please print) 5 p GENERAL INFORMATION: oZb � fv-o D S b Job Site Address: ` � � ��-�,��t,.��.� � `i�� ._.G � �b�J J�J � ��., L': .i� � Ld ��1Ltd.� _ „"e T� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No ,p If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be �(� required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: C� 2 e.5a,t - La�� a E� 1�1 C. State License# Expiration Date: Phone: cell -" �, b (Z, office i . �c C;.9�oQ� Mailing Address: - `��,,.i„ � Cit : rZc. ,r'y�c,� ZIP: �� Contact Person: �� Applicant is: C�fractoF / Homeowner (Circle One) Email and/or Fax: �,��.z.��Q'.,,�.,,r,�c E .Cor-t PROPERTY OWNER INFORMATION: Name: L..c1�., r� T=-o o.� -,�-��ut� ��-S � ,�:c • Phone (day): �I SZ• 9l� 2Cv"�'-� Address: y 1ov InJ, Sp"''"t 57��.er City: ��-�4 ZIP: 'S�i( '2� Email andbr Fax �2�,ss . cL,�;.��,c�.w�cx-t� L r-a-t� ! . c..D�.-� ARCHITECT/ENGINEER INFORMATION: Name: _Sd-f vd �c12.�'-+-t r-7'z�",c.-T� Phone(day): �,� Z . �'�� . �{Z J"t � Address: %d So.,� �"` ST. City: .M��N��S ZIP:�S�v � Email and/or Fax: . � 6 N a� .Srt►....�e.�S r �l .c,Q �-'1 PROJECT INFORMATION: Descri tion of ro�ect: �� L� � "�� '�- � 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction ❑ Single Family with ❑Accessory Bldg./Garage ❑Addition attached garage ❑ Deck � Public Sewer ❑Accessory Building ❑ Single Family with [�O�ce/Commercial �Relocation detached garage ❑ Residence ❑ Private Sewer Other: (specify) � V T�M�- ❑ Multiple Family/Condo ❑ Retaining Wall(s) ��o�►L [� Public 4-feet or greater Q] Public Water ""Any earth movement may also require [�Commercial ❑ Storage MCWD review&permits. ❑ Industrial ❑Warehouse ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑Other: (specify) ❑ Other(specify) 15320 Minnetonka Blvd Minnetonka,MN 55345 Phone: 952-471-0590 Fax: 952-471-0682 www.minnehahacreek.or Estimated Construction Valuation (excluding land) $ �'�', �'� � ' Last Updated: January 2016 t � . STRUCTURE INFORMATION: � �-Z. s `-j J 1.Structure Dimensions 1.Structure Dimensions(continued) a. Length(ft.)= Number of bedrooms= �-"" 2. Occupancy: � / /l S' l _ i b.Width(ft.)= Number of garage stalls: �" ' � �� . � � .�---, 3. Occupant Load: � Areas in square feet Attached= c. Basement= Detached= �� 4. Type of Construction: /� ��! �w SO�f � d. 1 S�Story = 3, ��l% e. 2"d Story= 5. Code Edition: Zb�� SOL/ f. '/2 Story = g. Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed A licable ❑ ❑ Buildin Permit Escrow A reement and Fees ❑ ❑ Plan Review Fee ❑ ❑ Com leted A lication Form ❑ ❑ Pro osed Buildin Plans—2 full size sets,to scale and 1 reduced 11 x 17 or 8'/z x 11 set ❑ ❑ Minnesota State Ener Code Calculations and Mechanical Code Re uirements ❑ ❑ Surve —2 full size,to scale meetin ALL surve re uirements ❑ ❑ Hardcover Calculations ❑ ❑ Se tic S stem Certification ❑ ❑ Minnehaha Creek Watershed District(MCWD) Permit or Documentation from MCWD statin no ermit is re uired ❑ ❑ Landsca e Walls and/or Retainin Wall Plans ❑ ❑ Stormwater Pollution Prevention Plan SWPPP ❑ ❑ Access Permit ❑ ❑ Data Privacy Advisory Form APPLICANT/OWNER ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is completed and signed; • Understands some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certifcate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a$10,000 escrow to ensure completion of the as-built survey and all site improvements. � t .--i � • � I ApplicanYs Signature: - �� Date: � � Owner's Signature: Date: Last Updated: January 2016 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS 33 ' � �Address: J � S�'lO/'cl/�1 P �''/fi�(/ Permit No.: �� "'�/�� Description of work: �e�I�P� l�'l '�Pr'�Or/' fi(�d'C7 Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: d l Grading review by: Date Approved: Zoning District: Zoning File#: Reso#: Reso Date: Zoning: Lot Area: SF/AC � Width: Lot Coverage: SF % Survey Submitted: � Yes 0 No Date of Survey: R ised date ? : Landscape plan submitted? 0 Yes 0 No Landscaper: Proposed Setbacks: Front(Lake) Rear(Street) ( N E W ) ( N S E W ) Other Buildings Wetland Side Sid Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) Perimeter(linear feet) _ %= L.F. below grade Basement? � Yes � No, Stori FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: The distance between the low t proposed Slab at or above grade— START WITH floor(of the basement or cra I pace)and measure from hiphest existinp the highest point of the roo. START WITH rade to the highest point of the roof even if fill was brought in to elevate home. If you have a... SUBTRACTION • GABLE OR H PED ROOF( o Slab below grade—measure (BASED ON windows): S btract half the d tance from highest existing grade to the ROOF TYPE) between th highest point of th roof hi hest oint of the roof. to the low oint of the correspo ding If you have a... gable or ipped roof SUBTRACTION ' GABLE OR HIPPED ROOF • GAB OR HIPPED ROOF(with (BASED ON (no windows): Subtract half wind ws): Subtract half the distan e ROOF TYPE) the distance between the be een the top of the highest highest point of the roof to w' dow and the highest point of the the low point of the of corresponding gable or hipped roof • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF mansard,etc):No subtraction. (with windows): Subtract SUBTRACTION �btract the distance between the half the distance between (BASED ON asement/crawl space floor and the the top of the highest EXISTING highest existing grade adjacent to the window and the highest GRADES) foundation OR 10 feet(whichever is less). point of the roof j • ALL OTHER ROOF TYPES (flat,mansard,etc):No EQUALS Defined building height subtraction. � Defined building height EQUALS Updated: October 2015 z:\forms\plan review checklist 10-2015.docx �, Average Lakeshore Setback Shoreland District MCWD Permit Met? B�u� � Yes � No Permit Number: 0 Yes � No 0 N/A � Ye No � 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and sf � Yes � No � Yes 0 No 1 2 3 4 5 Type(s): � Type(s): Fees to be Char ed YES NO Permit l./' Plan Review (/' State Surcharge (/� Investigation Fee 1/' SAC— Number of SAC Units � Other(specify) Square Foota e $ per Square Footage Basement X = $ 1 St Floor X = $ 2nd FIOOr X = $ Garage X = $ ✓�,/y� ,�yr� � Estimated Construction Value: $ JW, �W Orono Inspections Required Work Requiring Separate Permits � Footing � Site Plumbing � Grading/Filling 0 Poured Wall 0 Silt Fence/Erosion Control Mechanical 0 Fire � Foundation Survey � Hardcover Removal 0 Septic 0 Water Connection 0 Foundation Waterproofing ❑ Other(specify) � Fireplace 0 Sewer Connection Framing � Masonry 0 Lawn Irrigation Insulation 0 Mfg. 0 Landscaping 0 As-Built Survey � Other(specify) inal ❑ Lathe Required State Permits ❑ Other(specify) � Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � � See Builder Acknowledgement Form ; � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. � :; k Updated: October 2015 �•\fnrmc\nlan rc�iio�ni rhar4lict 1(1_9h1F rinrv . , - �0�0 C ITY OF ORONO ,� � Street Address: Mailing Address: Telephone(952)249-4600 'S G` 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 Ft F, Orono,MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us �kESH�� September 23,, 2016 � �� Brad Shamp Carlson-LaVine, Inc. 2965 Partridge Road Roseville, MN 55113 RE: Lunds& Byerlys 3333 Shoreline Drive We have completed a preliminary plan review for the above-captioned project and find the following Items that must be addressed in writing before a permit can be issued: �! Provide Material Data Sheets for Vomela vinyl wall coverings Y- /Provide Material Data Sheets for Shaw Carpet squares. � �rovide location of emergency lighting and fire extinguisher(s). 4. Separate permits are required for plumbing, mechanical, septic and electrical is through the State of Minnesota. Additional comments may be identified following review of updated information. Please call if you have any questions. Rega , //r� f �'�C:/ �- �`e�%"IJ�� Ro er Peitso Building Official City of Orono Direct: 952-249-4625 Email: rpeitso@ci.orono.mn.us Fax: 952-249-4616 CC: Architect,Jason S. Via email 10 South Eighth Street t 612_339_2257 Minneepolis MN fi6402 sheadesign.com 9/27/16 Jason Stiefel Shea 10 South 8�''Street Minneapolis, MN 55402 Re: Interior Remodel, L&B Navarre Shea Project No.: 7214.00 Dear Roger Peitso, The following is in response to your comments dated 9/23/16 regarding the above mentioned project. Please see our responses below. 1. Provide Material Data Sheets for Vomela vinyl wall coverings. Response:The requested information is attached with this response.See Vomela Material Specs 2. Provide Material Data Sheets for Shaw Carpet squares. Response:The requested information is attached with this response.See CPT-1 8 CPT-2 Material Specs 3. Provide location of emergency lighting and fire extinguishers. Response:See the attached G300 Life Safety Plan for locations of emergency egress lighting and fire extinguishers. 4. Separate permits are required for plumbing,mechanical,septic and electrical is through the State of Minnesota. Response:The trades listed above will submit for permit with the State of Minnesota. Kindest Regards, Jason Stiefel Project Architect Shea, Inc. ' ,/ �=V ° �I� oF oRONo ,a � Streot Addross: I Mailing Address; Telephona(952�249-4600 'S'�, G1 2750 Kelley Parkway P.O.Box� Fax (95�249-4676 t� Orono,MN 55356 Crystal Bay,MN 55323 www.d.orono.mn.us ��FSH04 September 23,2016 Brad Shamp Carlson-LaVine, Inc. 2965 PartNdge Road Rosevflle, MN 55113 RE: Lunds&Byerlys 3333 ShoreEine Drive We have compEeted a prelimfnary plan review for the above-captioned project and flnd the following Items that must be addressed in writing before a perrnit can be issued: 1. Provide Materiat Data Sheets for Vomela vfnyl wall coverings 2. Provide Material Data Sheets for Shaw Carpet squares. 3. Provide location of emergency lighting and flre.extinguisher(s). 4. Separate permits are requfred for plumbing,mechanical,septic and electrical Is through the State of Minnesota. Additional cornmerrts may be identified following review of updated information. Please call if you have any questEons. Reg , .:, C�� '�� R r Peitso Building OffTctal Gty af Orono Di�ect:952-249,4625 Email: rpeitso�ci.orono.mn.us Fax:952-249,4616 CC:Architect,Jason S.V'w emai! � , ;��i�f�s 2�12 �1��A1'�� Plan Review# ' �U�III)Il�� 0�1�� :o�: . . �-�— --,.—____ val�tlon: � ;.� � �� .��:��. . . . . , . . �ee.. . . �� . .. JU�I9DICi10N: , . . BUlI�fl�1G. . . . � �� . , �� , ..' . ' . ` : ` :,;� ' .- � r .-..�.., +.��.....wtr.;.r,.ti.�ry,.,,,�,�,,,,! ', A� L .. '-... . ' . . . ' .' ��'��Y'u.`v . ' .Y I" Y, {'�f.y.(t 'I. ��q�!'� y"' 4� i �r � - - ' '' w. ��r`. '�'1:� E��\� � . s r 'trti � � s l � '+Sr;?�, � � a�.. �� +� y.. . �, r ,r. ' � �e.�, t s . t c. ��. ,a . .,,� � nM�li } p ,-•. , +u . F.. .}.M a� �1 e t` � s �� '�"�; x '��,-�4' '..�.�"��t ,��{��;5�''P,Me�INta"� �,,yy��,y� ' � - '' ' .; 'l� � .a �* ''a �. �..4..�{,I" ,rT , FY r��lr! " ,Y``#yJ_ .-ta�?! . ^ . l� �,r :'' ,y��...; rp�4 it�t �� '� .J' t �' .. i.t: � 'i �...'t{ 4 �Ir-> ' . .. a i . +� �'i,Y'" � :. �''t + = r< �3s,cf:� :'�, '�1'��'< °�f�'Sur"�<4 ''�,.s�r t�'ir��s}s^ .+:*'"$�.�� z-`'�1� .'�!- '��t �.•. i 1, <. ,{ �'' � �� Y a.. 1.M_�K'".W �d' � � ♦ i..^ � •.14� r�MW'll I �� `f .. .,. �f 1 i�;l��r.} Y t � -> Y4 ;•'!p111 �� .,, r 7 .i . ' . . �` . _ " � '. .. . , . ' '�� ,,,. .. . �. ,, i-. ,.. .. ..e . .. .. ��r w�. ..,i6:.i `}'�a�-_�'tif X! t�'��.�.iy t�,�Fr� a��tr 71�'�k� ..�: �;�F!�E�T14N �,�S�I C�� . � DESCRlPTiON � ✓yl� v'!n cv� . v'G�v' �' � a-tt/ � aN � s •• • � • ITB�I 978-1-L0983-257-5 � •• • • ' . . • . 9��II��I I II�II�I II 781��9 832 7 INTEANAT � � IONAI CODECOUNpC � � • . �� o-Toteszs 1/12 -1- , , CORRECTION UST(c:onYd.) ' , No. DESCRIPTfON �� Section 1 •,t•'* e . ^' .. • ��u . .. , `� , . '2' 1 � CORAEC110N LI8T(oont'd) NO• DESCRIPTION �e Section r � h NOTES: N.R.—Not required . • N.A.—Not applicable , ' ADMINiSTRATION (Chapter 1) Complete construction documertts Signed/sealed construcdon documerrts (i07.1, 107.2) (107.1,SYate Isws vary) BUILDING PLANNING (Chapters 3, 4, 5, f) OCCUPAPICY CLASSiFtCAT10N(302-312,508,509) Single Occupancy (302.1) Incider�tal uses (509, Tade 509) �� NAixed Occupancy(508.!) Accessory occuparxies(50�2) GiENERAL BUILDING LIMITATIONS(Chaptsrs 5 dc 5) Address ideMif'�cation (501.2) Apply Case 1 to detennine the allowable height and area and pernbtted types of oor�stnw�ion for.a building c�ntaining a singie oa:upency or nor�separated mi�aed occupancies. Appy Case 2 to determine the alio�wable height and area and permitted lypea of oonstruction i�r a building coMslning separated mixed occupancies. AREA.MODIFICATIONS TO TABLE 503 /`/�� Allowable tabular area,A�(TaWe 503) � F�� (506.2) Area Increase Factor due to frontage, North East South West �r(�2) + Total Frontage(� ,.-- `t. Perimeter(P) ft. Area Increase Factor due to automatic Width of open space(N�_ sp�inlders, l�(508.3) + - . Area Increase Factor due to frontage, /,_ Conversfon factor = --- (506.2) !f= [P-0.25,30 CASE 1 —SINGLE OCCUPANCY OR NONSEPARATED MIXED OCCUPANCIES(508.3) Using Table b03, identity the eNowable height and area of the single occupancy or the most restrictive of the nonsepa- rated mi�d ocxupancies.Constructbn lypes that provide an allowable tabular area equal to or greater thsn the adjusted building area and allowable heights(as moc�fied by Section 504)equal to or greater than the actual building height are perrnitted. DETERMINE CONSTRUCTION TYPE CHECK ALLOWABLE AREA(506.4) Actual building area ft2 Allowable area per fbor(Ar Adjusted Iwilding area � x ' � achud buNcing erea+oornerolon�ctor aorwersion factor tabular area(Tabfe 5013) Actual building height feet stories Total floor area(all stori�) it� AlioMrable building height feet stories Allowable floor area(all stories) Permitbed types of oonetruction x - � AIIoMraWe��per tloor n ��m�les 7ype of construction assumed �or reWew(8A2.1) Compliance verified -4- � � CASE 2—SEPARATED MIXED OCCUPANCIES(506.4) Using Teble 503, identlfy the allo�wable hetght and area of each of the seps�eted oocupandes within the building.Con- stnictbn types that provide, for each story d the�ilding, tabular areas(as mo�fled by Sec�fon 506)which resuR in a sum of the ratios of 1.00 or lese and aliowable heights(as modified by Section 504)equal t�or greater lhan the adual height of the occupency are permitted. Ac�l A�ualsd ��A�pi( Allow�bN 8�► Group floor aroa Aoor aroa het�frt hsiqht ft� ft� ft stories ft stories � 1`� _ ft sio�fes n �p� ft� ft� ft s�ories ft s�ories i� ft2 ft slories ft stories ft� ft� ft stories ft stories ft� fta ft e�oriee _f�_•storfes it� ft� R storfes ft stories Area�tio(single floor)= E �usted floor area• _ + + + : 51.00 Allo�w.tab.ar�a, Ar(Tab/e 5014j •A�usMd 11oor aroe=�.fiyl fioor aroa+oonvaraton tiabr CHECK ALLOWABLE AREA(506.5) � �'� : C�l��'i�/Z1drC,�' � �� Three stories or less buildin9s Permiaed types af oonstrucdon Four or more story buNdings 73rpe ot oonstnx�tia�a8sumed (Total area ratio 5 3) for review (601.1) Complience�rerified ;MEZTANINE'��S) Area Iimitatlon (505.2.1) Openness (5052.3) Egress.(505.2.2) Equipmer�t platfo�ms(505.3) NonspriNdered,one ssory(507.2) aroup H occupenclee(507.8) . Sprinidered,one sbry(507.3) Air�craft paiM hangar(507.9) Two story(507.41 C3roup E buildin� (507.i0) Reduoed open epeoe(507.5) Motfon pbture thae�ets(607.11) Qroup A�buildings(507.6,507.� Covered anc!open mall buildin�/anchor stores(507.i2) SPECiAL PROVISIONS (510) Special c�onditlon applicable (510.1) Compl�veritied SPECIAL DETAILED REQUIREwENTS BJISED ON USE AND OCCUPANCY (Cheptsr 4) o��ece (�.�.1,ao�i.21 .Pla�stic aigns (4u2�4) Lease plen(402.3) S�pe�ystem(402.7.1) Area/type of constnx�ion (402.4.1) Srrwlaa oorrtrol(4Q27.2) Flre separar�atione (4A2 4.2-4Q'1.42.9) 8tandby PoM►er and emeroency vek�Jslarm Open mall construcdon (402.4.3) � (4A2 7.3, 4Q2.7.4) ' Automatic sprinkler system (402 5) Fre departmerrt aa�ss (402.7.5) Irrterior finieh (402.�1) Mali width(402.$1) Kiosk requiremerrts(402.8 2) Oxupant load(4Q2 8.2-402.8.2.4) Playground structures(402.6.5) Egress (402.8.3-4A2.8.7) Security g�illes and doors.(4�1.8.8J -5- UILDINGS (403) Standby power(404.7) , � Construcfion (403.2) Irnerior finish(404.8j ' Automatic sp�inkfer system (4Q9 3) Travel distance (404.9) Smoke detection (403.4.1) OTHER SPECIAL USE AND OCCUPANCY Flre alarm system (403.4.2j Underground structures(405) Standpipes (403.4.3) Motor-vehide-related occu�ncies (406,510) Emergency wice/alarm systems (403.4.4) Group I-2 (407) Emergency responder radio coverage Group I-3 (4U8) (403.4.5) _ Fre command center(403.4.6) Motion picture projection rooms (409) Smoke removal (40�.4.� �.Piat�oomis and technical produo- Standby power(403 4.8) Speaal amusemerrt buildings (411) Emergency poNrer(403.4.9) a��es (412) Stair remoten�s (40.�5.1) ��e��(41S) Additional stairway(403.5.2) � �s materis� (�7.1,414) Sffiirvnay doors (40.�5.3) Groups H-1,H-2,H-3, H-4 end H-5(415). Smokeproof exit(403.5.4) Application of flammabie finishes (416) Luminous egress path(403.5.5) Drying rooms (41� Ele�vato�s (403.6) � Organic coatings (418) � Live/work units (419) Use (404.2) Groups i-1, R-1,R-2� R-3 (4�0) . Automa�c sprfnkler system (404.3) Hydrogen cutoff rooms (421) Fire alarm system (404.4) Ambulatory health care facilities(422) Smoke control(404.5) Storm shelters (423) Enclosure(404.6) Children's play strudures (424) FIRE PROTECTiON (Chapters 6, 7, 8, 9) �rrl•� rs� FIRE-RESISTANCE-RATED CONSTRUCTION (Tabtes 601 8 602 and Chapter� ��,� / W Nob:Er�y in❑ indicates required rating in hours.NC FIRE-RESISTANCE RATINGS AND FIRE TESTS (703) indicates�mbustible con�tructbn required. Ratlngs/CorM�ustibility �_ Constnac�on clasaiflca�on (802) (703.2, 703.4, 703.5) COMBUSTIBILITY(602.2�602.3,602.4�602.5�603) _7� Altemative methods (7Q3.3. 719, 72i, T22) __ � Exte�or walls __�� q�ted glazing (703.6) IMe�ior elemer�ts __� Ma�lcing and iderrtification (703.7) Roof -6- . BUILDING ELEMENTS(Table 601) - ' ` a Atriums (707.3.8) ❑ _.:___ ❑ Structural frame(704I ❑ ❑ � �_ Incidental uses (707.3.� Interior bearing walls ❑ � ❑ __� Cor�trol areas (T07.3.8) Interior nonbearing walls � ❑ _� Mbaed occupancy and flre erea separa- � Floor construction (711) tions(707.3.9, 707.3.10, 901.7) ❑ � Roof construction (711) ❑ Construction (707.2, 707.5- 707.10) EXTERIOR WALLS (507, Table 602, 705) VERTICAL OPEN(NGS (712) N�r� East South West Compliance(712.1.1 - 712.1.i8) Fire SHAFTS 13 separation �� J ' �-, � � C� ) distance �V � Bearing ❑ � � � � � � 6 ��ruction (713.2-713.i2, 713.1,4J 4 ❑ Refuse and laundry chutes (713.13) � Nonbearing ❑ 6 ❑ � �� ❑ � ❑ — . ; Elevator lobby(713.14.1) � Projedions (705.2) OTHER FIRE-RESISTANT CONSTRUCTION Materials/stability(705.4, 705.6) � Fire wetlls (708) ❑ �L— O � _ pening protection (705.8.1 -705.8.4) � � F��rntions (708) ❑ _�� Vertical fire spread protection Smoke barriers " (705.8.5, 705.8.6) � —�-- (709) ❑ �� Parapets (705.11) � Smoke partitions (710) ' f FIRE BARRIERS (707) _� Penetrations (714) � . "�'� .. ; ❑ _,� Shaft enclosures (707.3.1) _.___._.__ _ __ Fire-resistant joint systems (715) ❑ �' Interior exit stairway/ramp(707.3.2) Opening protectives(716) ❑ � Exit access stairvvay/ramp (707.3.5) _� Dampers (717) ❑ �_ Exit passageway(707.3.4) �_ ��aled spaces (71B) l_I /`� Horizontal exits (707.3.5) Thermal-and sound-insula�ng materials -� (720, 807) INTERIOR FlIVISI•�ES (Ch�pter 8) � Smoke development Floor finish (804) (803•1•1, 803.1.2,803.9, Table 803.9) �� Combustible materials(805) Flame spread (803.1.1, 803.i'.2,803.9, Tab�le 803.9) Decorat(ons and trlm(808) Textile%xpanded virryl coverings Acoustical ceiling systems (80�8) (803.1.3, 803.f.4,803.5-803.8) -7- FiRE PROTECTION {Chapter 9} . AUTOMATIC SPRINKLER SYSTEMS(903) �— Hose threads (903.3.6) (VUhere required) � Sprinlder monitoring and alarms(903.4) Assembly(A-1,A-2,A-3,A-4,A-5) (803,2.1) 'Also see Fire Code Sprinlder Plan Review Record Ambulatory health care fadliaes(B) ALTERNATIVE AUTOMATIC FIRE-EXTINGUISHING �gp�3,2,2� SYSTEMS (904) Educadonal(E) (903.2.3) � Ins�llation (904.3) Factory/Indust�ial(F-1) (903 2.4) Wet-chemical systems(904.5) High-hazard(H-1, H-2,H-3, H-4.H-5) Dry-chemical systems(904.8) (803.2.5) F��ems (904.� Institutional(I-1�I-2, I-3, I-4) (903.2.6) Carbon diaodde systems(904.8) ��l � Mercar�tile(M) (9�.3.2.� H��ems(9U4.9) ResidertGal(R) (904.2.8) Clean-ageM systems(904.10) Storage/Repair garage(S-1) (903.2.8) Commercial cooking systems Parkin9 9�9�(�2.10) r (903.2.11.5,8U4.2.1, 8D4.tf):.\� Windowlesa story(8032.11.1) � -. STANDPIPE SYSTEMS (905) + , . , �,. Rubbish and linen chutes(803.2:11.2) Installatbn standard (905.2) . �. ____.__ Buildings over 55 ft.high (803.2.11.3) Building heigM(905.3.1) v4`.'�`'":\' f'l�i� Incider�tal uses (Tab�509) ' Group A(905.3.2) ---------- Add�ional required systems Covered and�en malls (905.3:3) . (Table 9�03 2.11.8) ' Sta9es(905.3.4) ... IMemational Fire Code (IFC 90.'f2.1 i.6) " � • Underground buildings (905.3.5) � AUTOMATIC SPRINKLER SYSTEMS` (903) w- Helistops/heliports(905 3.8) ' (Design) � . - '- Shop drawings(107.2.2) Marinas/boatyaMs (90�.3.� � NFPA 13 system (903.3.1.1) Rooftop gardensAendscaped roofs (905.9.8) � A13Rs ) — Ho�e connections and locations _ C NFPA 13D system(903.3.1.3) (905.1,905.4,905.5, 905.8f � , ,. � Quidc-response and residerrtial heads Cabinets(905.� (903.32) Dry s�ndPiPes(905 8) r-��`��^Actuatlon(90.�.3.4) Valve supervision (905.9) �._ Water supplies(903.3.5) -& . PO TABLE FIRE EXTINGUISHERS (906) �_ Init�tin�de�vices(807.4) . Required locatlor�s(gp61,906.5, 908:8) _.��- _ Oa�pant notiflCation (907.6) �4�� Ir�stallation standand (906.2I Ir�atbn (807.6, 907.� Si�e and distributlon(90�8.8) EMEROENCY ALARM SYSTEMS (908) Cabinets (906 8) Detection syste�ri appiicable (9n8.1-908 6) Installation (SQB 9) FIRE ALARM AND DETECTION SYSTEMS (907) ��n monoodde alarms(BqB,� Mm�reQu��) SM CONTROL SYSTEM3 (9pg) Constructlon docume�s/shop drawings Whene requ(red (4p2 7.2,�S,406.5, (9i07.1.1, 907.12) �QB.9,410.9.72, 107'1,10, 'lQ28.B2.1) Assembly(A-1,A-2�A-3,A-4.A-5) Design requirements (g�08.1-8pg.4) (907.2.1) Srrwlae barriets(808.5) Business(B) (8�0'l.2.2) Pressuriza�on metFtod (8QB.8) Educafional(E�(907.2.3) Airtbw design method (9D8.7j Fac�ry(F-1� F 2) (907.2.4) E�wst metitod(90�9.8) High-hazard(H-5/organic ooatin�/highly modc gases/organic peroxide�! Design fire (90�9) aocidizers) (807.2.5) Instnutional(I-1, I-2, I-3, I-4) (907.2.6) Equipment/pow�e�(8pg.10,909.11) Detec:tion and cor�trol (909.12-908.i8) Mei�le(M) (9�07.2.� Smokeproof endoeures (8O�B20) Residerrtial(R-1� R-2, R-4) (9�07.2.8, 9072.9,907.2.101 Elsva�r hoistway pressuriZation (909.21) Singleo/multiple stabon smoke alarms SMOKE AND HEAT VENTS (910) (907.2.11) RequiremeMs(8f0.1 -9f0.9) High-rise buildings(907215) Mechanical altemati�re(9f0.4J Atriums (907.2.14) FIRE COMMAND CENTER (911) Other butldings/areas (907.2.12, 9072.15-9072.23) � RequiremeMs(81 i.1.1 -911.1.5) FtRE ALARM AND DETECTION SYSTEMS (90� FIRE DEPARTMENT CONNECTIONS(912) (Desipn) �� Inetellation (8121-912.5) Residential smoloa alarm irrteroonnection FIRE PUMPS(913) (907.2.11.3) Residentlal smoke alarm po�war souroe Requiremerrts (813.1 -913.6) (9i072.11.4) EMERGENCY RESPONDER 3AFETY FEATURES/ Flre sffiety functions (907.3) RADIO COVERA(3E(914,915) Requiremenb(8i4.1,8i4.2, 91b.1) -9- OCCUPANT NEEDS (Chapters 10, �1, t2) . MEANS OF EGRESS(Chapter 10} • OCCUPANT LOAD(i004.1.2 and Table 1004.1.2, 1004.4) CAPACITY OF EGRESS COMPONENTS Other (��•3•>> 1005.3.2) Locatlon Floor + 3q.ft./ _ Occt. acct. Total Area person load �oads E9�W��incWo�upant) Stairways Other egress oomponer�t Laxition Stairways Other egrees components NUMBER OF EXITS (1021.i, 10'11.2) LocatlOn Required Shown -10- ' , M�AN� OF EGRESS (continued) GENERAL MEANS OF EGRESS Design requiremerrts (1003.2- i003.7) _�_Door tandings/Thresholds/Arrangement Encroachment(1005.7) (iQ08.i.5- 100�8.i.8) �_Means of egress illumination (1006) �Door hardware (100iB.1.9, 10,08.1.10) �_Exit signs(1011) Stairways (1009) _�_Accessible means of egress (1007) Roof aocess (f009.16) �_Door size/swing/opening force Ramps (1010) �1oas.i - io�.�.3I Handrails (1012) _�Special doors/Gates/Turnstiles Guards(1013J (10�8.i.4. 10082, 1008.3) Luminous egress path markings(1024) EXIT ACCESS ��Door number and arrangement —' Aisles (1017) (10142, 1015.1, i015.2) Corridora(1018) Common path of egress travel(i014.3) Air movement in corridors (i018.5) � Exit access travel distance (iDi6) Egress balconies (1019) EXITS/EXIT DISCHARGE �L�Exits/Exit doo�s (f0'10, 1021) Horizontal exits (1025) �Interior exit stairways/ramps (102'1) Exterior exit ramps/stairvvays (1026) _��Exit passageways (1023) _�Exit discharge (102� OTHER MEANS OF EGRESS � Miscellaneous egress requirsments Assembly aisles&features (1015.3- 1015.8) (1028.6- 1028.14) � Bleachers(i028.1.1) ; Emergency escape and rescue(1029) � Assem�y exits$e9ress ��o2ez- �o2s.s� � ; ACCESSIBILITY* (Chapter 11) / ` Scoping requiremerrts 1103 ( ) Dwelling units and sleeping units(i 107) _�_Accessible route (1104) Special occupancies(1108) �_.Accessible entrances (1105) Features and facllftfes (1109) �_Parking and passenger loading (1106) Signage(i 110) `Also see Accessibilityr Plan Review Record � I ` ` � � Q'CC�l1�l� �/G11- INT�RfOR EiYV1RC?NMENT (Chapter 12) � , ��S"'Vern�lation(1203p Sound transmission (�207) . �Temperature oontrol (1204) IMerior space dimensions(i208) �_Ligh�n�(1205) Access to unocxupied spaces(1209) 1Rairds or courts(i�6) �.�Toilet and bathroom requiremeMs (121D,2509) 'Also see Mechanical Code Plan Reviewr Reoord BUILDING ENVELOPE (Chapters 13*, 14, 15) "See Energy Conservation Code Plan Review Record EXTERIO WALLS (Chapter 14) � s �h Performance requiremer�ts(�409) � I ' �'�e materia�restric�(�4os) Materials (1404) EIFS (14U8) Facterior wall cov�erings/MCM's HPL (1409) (140�5, 140� ROOF ASSEMBLIES AND ROOFTOP STRUCTURES (Chapter 15) � q�- �h�� Weather protection (1503) Roof cov�erings(1507) Flashing (1503.2, 1507.2.9, 1507.3.9, Roof insuiation (1508) 1507.5.7, 1507.7.7, 1507.8.8, 1507.9.9) Rooftop structures (1509) �.�____�Performance requiremeMs(i504) Reroo�ing (1510) Fire cll�ssi�caHon (1505) Solar photovottaic panels/modules(15!1) Materials (1506) STRUCTURAL SYSTEMS (Chapters 16, 17, 18) STRUCTURA�DESIGN (Ct�ptsr 16) STRUCTURAL DESIGN CALCULATIONS I`s � ` """� � Roof live loads (1603.1.2, 1607.i2) Submitted for all structural members Roaf snow loads(i803.i.3, 16Q8;Chapter 7 ofASCE 7) (106, 107.1, 107.2.1, 1804, 16Q5) Ground snow load, DESIaN LOADS ON CONSTRUCTION DOCUMENTS po(16082;7.2 ofASCE� �� If pQ> 10 psf,flat-roof srww bad, Unfformly d(stributed floor 11ve toads p,(7.3 ofASCE 7) (i803.1.1, Table fB07.1) if po>10 psf,srw�n►exposure factor, Floor Area Use Loads Shown C,(TaWe 7-2, 7.3.1 of ASCE 7) If p > 10 psf,snow load importance factor� g,(7.9.3, TaWe 1.5-2 of ASCE� If pD>10 psf�roof themial factor, C�(TaWe 7-3, 7.3.2 of ASCE 7) Sioped roof snow load,p�(7.4 of ASCE 7) Live load reduction Ponding instability(1608.3;7.11 of ASCE 7) (1803.1.1, 1607.10, 1807.11) -12- . � - , 1�� • D�SIGN LOADS(oontinued) Siteclass(761�.5.2; 1 i.4.2 Chapter�2pof Wlnd loeds (1803.1.4, 1809;Gheptere 28-31 of ASCE 7� A8'CE� Design procedure(16109.1.1, 1609.6, Seismic d�ign c:Rtegory Chepters 2B-91 of ASCE� � (1613.3 5; 11.6�ASCE 7) Atbemate all-he�hls method (1809.8) Basic seismio-fo�s-res(stlnp system ��8�� (1iWe 12.2-1 ofA3CE� (18�09.3;Flg.2B 5.1 of ASCE� ��on coefflde�, R Risk category (Ta�le 12.2-i of ASCE 7) (TaWe 1804.�Table 1.5-f ofASCE� S��. C,(12.81.1 ofASCE Surface roughr�e�osure categories Analysis Procedure (12.�ASCE 77 (iB+U9.4;28.7ofASCE� tntemal preseure coefficierrt ��9�base shear(12.8 ofASCE� (26 i 1, TabIQ 26 i f-i of ASCE� Flood losds (1 BO.�i.7, 1812) ComponeM and Claddiny p�esur� Flood haze�r+d ar�ea(1812.5) _ (Chapter�d ASCE� DocumeMation(1812.5) Main wi.nd-force resisting system ��i614;(�ppt+sr 70 ofASCE 7 (27.4,27.6,28.4,28.6 ofASCE 7) ) Earthqualce design deta Compliance (i803.1.5, f813;(.�apters 11 - 19 and 15-23 of ASCE 7� �er loads Risk category ConceMrated liv�e loads (18i07.4) (Table i804.5;Table i.5-1�ASCE� PartiYon loa�(1�p�6) Seiarnic trr�ortanoe factor� /, Impeu�loeds(i907.9) (11.51, Tab�e 1.5-2 ofASCE� M�.�ds (1607.8, i807.7, 1807.8, MaPPed spectral response acceleration, 1607.i3, f607.14, i610, 16i1,2404) S,8nd S�(1813 3.1; 11.4.1 of ASCE� . Design spectral ��integrity(i815) response p8r�ameters,S� and S�,(1613�.4; f 1.4.4 of ASCE 7) D�ign requ irements (1815.1- 1815.4) SPECIAL INSPECTI��S �D TESTS (Chepter 1'� i Appro�als/Res�report(s) 1 `�t� � EIFS (i70515) (170.4, 1703.4.2)Report I�. Fire-resistant penetratbns and ints Statemerrt of speciel inspec�or�s (1704.3) (i7Q6.1B) � Prefebrlcated iterr�s(17�4.2.� Smoke control (17r05.1� � Steel oonstruction(1705.2) Concre�e constniction (1705.5) W�requiremerrts(1704.3 8, 1705.10) Maaonry oonstn�ctlon (l705.4) Se�resistsnos Wood oonstructlon(1705.5) (1704.8.2, i�06�i, 17Q6.12) P Contractor responslbiliiy (1704.4 repared fill and i�undations � (�705.s- 1705.9) stn,cxu�l observatlons (1704.$) SPray�ed��e-resistant materiela and T�tlng(other) (17q6- 1711) ooatings (170�.iS, 1705.14) SOILS AND FOUNDATIONS (Chep�r 18) Soils irnestiga�onslReports Load�earing vah�es (1803.1.6, 1808) (18p9.1, 180�2, i803.3, i803.6) �u��n y��ning vvaHs and Soil classiflcation(1�9.5) embedded posta and poles(16i0n Excavatlon�9ra�g and flll (f804) Foundatfons(i8i08) Dampproo�ing and waterproo�ing (1805) Shaflaw feundalbr�(1808) Deep foundations(i810) -1& Sl'RUCTUAAL MAT@FtiALS (Chapters 19, 21,22, 23j • . , CONCRETE (Chapter 19j Plain and reir�forced concrete desigN Minimum concrete strength (Tab/e 1904.2) construction standard specified � Slab provisions (i90� (18D1.2, 1805) `�— Construction dxumerrts (1901.3) MASONRY �hapter 21) � �� Design method�cor�truction standard Cold weather and hot weather specified(2101.2) co�structi�on speci�ed (2104.3,2104.4) construcaon documeMs (2�oi.a) Seismic design (2106) Cor�tructi�on materials (2103) __ (31ass unit masonry(2i 10) Mortar type(2103.9) FireplacesMeaters/Chimneys (2f01.3.1,2111,2112,2113) STEEL (Chapter 22) � Stn�ctural steel desigNconstructlon Steel cable structures(2208) standard specffied(2205) Steel stiorage racks{2209) Composite structural steel and concrete ��I design/construction �� standard specified (22f0) Open-web steel joist desigNconstn�ction �d_��eel light-framed desigN standard specMied (220� construction standard specified (221 i) WOOD (Chapter 23) Design method option used (2301.2) Fasteners and fastening ° (2303.6,2304.9, TeWe 2304.9.1) MATERIAL STANDARDS/CONSTRUCTION REQUIRE- H��y��r construction (2304.10) MENTS (2303-2306) Lumber(2303.1.1) Shear walls and diaphragms(2305,2308) Wood I-joists(230.?.1.2) CONVENTIONAL LIGHT FRAME CONSTRUCTION Glue-Iaminated timbers (2�3.1.3) �2�� Wood structural panele Limitations satisfied (2�8.2) (2303.1.4,2904.8,230�4.7) Wind/Seismic requirements (23U8.2.1, Fiber-,hard-,&particle-� boards �2.2,23UB.11,2�8.12) (2303.1.5-2303.1.� Braced walls (2�8.3,230�8.9.8) Decay and termite protection Foundation anchorage (2308.3.3.2308.6) (2303.1.8,2304.11) Floor joists (Tabfes 2308.8(1],2�8.81211 Structurel composite lumber(2303.1.9) yy�ll studs (Tab/e 2308.9.1) Structurai log members (2303.1.10) Qi�� _ Round�mber poles and plles(2303.1.11) (2�8.7, Tables 23U8.9.5 arral 2308.9.8) Fire-retarrlant-treated wood (2303.2) Ceiling joists Harclwood and plywood (2303.3) (Tebles 23Q8.10.2�1],23U8.10.21211 Roof rafters Ti'usses(2303.4) (Tableg 2308.10.3.j1]-2308.f 0.3�6J) Joist hangers (2303.5) Roof uplift(23U8.10.i) -14 � � ' NONSTRUCTURAL MATERIALS (Cheptsrs 24, 25,26) S'� . � �LA33 AND OLAZIN� (Chapter 24) Sloped glazing and skytigMs(2405) Saiety glazing (2408,2407,24QB,2408) GYPSUM BOARD AND PLASTER (Chap�sr Z5j QYPs�m board r�reteriais Plester(2507,25QB,25f0-2513) (250i6, Tab/e 2�06.2, TaWe 250i6.1) PLA$TIC (Ctaap�sr 26) � / �/��` FOAM PLASTIC IN3ULATION (2603) � SP��aPP�(2603.f 0) LabeGng (26032,2603,5.6) MISCELLANEOUS PLASTICS S�m��e�� irrterior finish and Vim (ZB04) ) Themial barrier(2809 4) Pla�stic veneer(2+Bi0b) Fxte�ior walls/Roois(2803.5,2B03.8) Light transmittin9 plastics (28�0�8-2811) IMe�r finishRrim in pienums ��r re��ed PaYmer(2812) (28�0�9 7,280�9 8) Reflective p�C coro fnsulatbn (2813) Probection agair�t termitee(2�0.3.9J BUILDING SEF�/ICES* (Chapfiers 27, 28, Z9, 30) ELEVATORS AND CONVEYIN(3 SYSTEMS(Chap�er 30) Construction starxlard sp�ified (3U01.2) � ��R9 systems(3005) HoisfiNay enclosures (3UO2) ,�_ Machine rooms(3pD8) ��9 Proteativ�es (�021.1) Flre service acc�elevetor(3�0�0� EmengencY oPer�io�s(�) Occupa�eve�on elevator(3008) Hoistwey verrting(�4) 'Also see Electricx�l(Ch27), Mechanical (Ch28)and Plumbinfl(Ch.29)Plan Rsvisw Records SPECIAL DEVICES AND CONDITIONS (Chaptsr�s 31, 32, 34) � SPECWL CONSTRUCTION (Chapter 31) Membrane shuctu�(Sip2j �" Au�o�vehlcular patee (9110) Temporary structures(3103) So�r photowttalc paneis/modules (9f i 1) _....,. Awnings and carwpies/Manquees PEDESTRIAN WALKWAYS AND TUNNEL3 (SiA4) (31Q.5, 3106) Signs(9i07) Con�ktruction and use(3104.9,910�4.4J Teleoanmun�ation and broadcast towe�s Sepsration (3f04.5,3104.10) (31Q8) Pudic way (3104.6) Swimming pooi endosures (8i0�9I Egress(3104.7-9104.8) ENCROACHMENTS IM�O THE pUBLIC HT-0F WAY(Chapbsr 3Z) Below grade (32A2.1) Temporary(�4) Abov�e grade (�2,�202.3) EXISTING STRUCTURES (Chapter 34) Building materials(9401.4) Change of oxupancy(34A8) Addibions, alteratior�s� r�epairs Hts�ortcJmo�re�buUdinps(540�9,94f0) ��-�5� Acoessibility(34 i i) Fre e�capes (340�B) ��(3412) Glass.replacement(3407� -15- � BUILDING EVALUA7101v SUMMARY(TeWe 3412.7J • r Exieting occupancy: Proposed oocx�ancY: • y�.��y��a��; Number of stories: Height in iee� Type d constnictlon: Area per floor: Percentage of open perimeter increase: 96 Corridor wall radng: Cqrpletely suppreseed: Yes No Required door d�ers: Yes No �p��; Yes No Flre-resistance rating of verticsd opening encbsur�: lype of HVAC system: , serving number of floors: qutomatic flre detection: Y� No Type and location: Flre alarm system: Yes No Type: 8moke coMrol: Yes No__._,._._ Type: Adequate eocit routes: Yes No Dead e�de: Yes No Ma�dmum exit aa�ss trevel distanoe: Elevator coMrols: Yes No Means of egrees eme�ncy lightlng: Yes No Mbced oa:upancies: Yes No perarr�ers sa�eiY(FS) aF egress(ME) safety(GS) 3412.8.1 Building heigM 3412.8.2 Building aree 3412.8.3 Compeutmenlation 3412.6.4 Tenent and dwelqng unit separati�one 3412.8.5 Corridor walls 3412.8.8 Vertical openinge 3412.6.7 HVAC syetems 3412.8.8 Automa�c fire deteation 3412.8.9 Flre alarm aystem 3412.6.10 Smoke ooqtrol ``•� 3412.8.11 M�ns of egresa capacity •'" 3412.8.12 Dead ends ,'*• 3412.6.13 Max.eodt accese b�avel distarx:e •••• 3412.8.14 Elevator co�trol 3412.6.15 Means of egress emer9encY��9 '�,• •��w 3412.8.18 Mbaed oocupancies 3412.6.17 Automatic spriMders +2= 3412.6.18 Stan� 3412.6.19 Incidenta!use Buiklinp scor�e—total value •••»Nc applicable value to be b�sened. BUILDING SAFETY EVALUATION SCORE(Teb�e 34f2.9) Formula Table 34127 Table 3412.8 Score Pass Fail FS-MF3 2 0 (FS) — (MFS) _ ME-MME 2 0 (ME) — (MME) _ OS-M03 2 0 (GS) — (MGS) _ FS = Flre Safety MFS = Mend�ory Fire SefetY ME = Means of Egrees MME = Mandatory Meens of E9ress GS = General Safety MGS = Mandatory General Safety APPENDICES A- 611 Appendi�es adopted (101.2.1) Complianoe verfied -16- 3M Commercial Graphics � 3M Center � St.Paul,MN 55144-1000 General 1-800-3 74-6772 � Product Article Letter This letter is in response to your request for a copy of the Material Safety Data Sheets (MSDS) for: 3MTM EnvisionTM Print Wrap Film 480Cv3 This product is not required to have a MSDS under the Occupational Health and Safety Administration Hazard Communication Standard, 29 C.F.R. 1910.1200 (b) (6)(IV), and 3M has not prepared a MSDS for this product. This product,when used under reasonable conditions or in accordance with the 3M directions for use, should not present a health and safety hazard. However, use or processing of this product in a manner not in accordance with the product's directions for use may affect the performance of the products and may present potential health and safety hazards. This product is considered to be an article as defined by the Federal Occupational Safety and Health Administration. An "article" means a manufactured item, other than a fluid or particle: (i) Which is formed to a specific shape or design during manufacture; (ii)which has end use function(s) dependent in whole or in part upon its shape or design during end use; and(iii)which under normal conditions of use does not release more than very small quantities, e.g. minute or trace amounts, of a hazardous chemical and does not pose a physical hazard or health risk to employees. If you have any questions about the features or performance of these 3M products,please call Commercial Graphics Division Technical Service at 1-800-328-3908. Additional article statements, as well as RoHS and REACH SVHC information for our films can be found at 3M.com/Re�s. Sincerely, 3M Commercial Graphics Product Responsibility Version 1.0 3MT"'EnvisionT"'Print Wra Film LX480Cv3 07/28/16 Disclaimers:The information provided in this document related to material content represents 3M's knowledge and belief,which may be based in whole or in part on information provided by suppliers to 3M.This is intended to answer commonly asked questions about 3M products and is not intended to be a comprehensive listing of all substances that may be of interest or that may be regulated in this or other 3M products,nor is it intended to be a comprehensive summary of any and all regulaUons that may apply to this product.Where substances are listed,their listing dces not infer or constitute a judgment as to their safery,environmental or health impacts.Infortnation is supplied upon the condition that the persons receiving the same will make their own determination as to its suitability for their purposes prior to use.Customers are encouraged to consult with lega(and regulatory experts to determine applicable regulations in light of intended use of the product. Limitallon of Remedies and Liability:In the event any Product is proven not to conform with the information in this document,then to the extent permitted by law,3M's enfve liability and Buyer's exclusive remedy,will be at 3M's option either. (i)repiacement of Product with a conforming product,or(ii)refund of the pwchase price paid by Buyer for each non-conforming Product,within a reasonable time after written notification of said non-conformance and return of said Product to 3M.3M shall not under any circumstances be liable for direct,incidental,special,or consequential damages(including but not limited to loss of profits,revenue,or business)related to or arising out of this certification,including,the use,misuse or inability to use the Product.Unless stated otherwise in writing,the foregoing language cannot be waived,modified,or supplemented in any manner whatsoever. Pa�e 2 of 2 3M'''M EnvisionTM Print Wra Film LX480Cv3 07/28/16 � Regulatory Data Sheet Copyright,2016,3M Company. All rights reserved.Copying and/or downloading of this information for the purpose of properly utilizing 3M products is allowed provided that: (1)the information is copied in full with no changes unless prior written agreement is obtained from 3M,and(2)neither the copy nor the original is resold or otherwise distributed with the intention of earning a profit thereon. T'his Regulatory Data Sheet is provided as a courtesy in response to a customer request. Document Group: 31-0288-6 Version Number: 3.00 Issue Date: 07/28/16 Supercedes Date: 07/09/16 3MTM EnvisionTM Print Wrap Film LX480Cv3 3M Commercial Solutions Division 3M Center, St.Paul,MN 55144-1000,USA 1-888-3M HELPS(1-888-364-3577) 3M RDSs are available at www.3M.com Regulations and Industry Standards SDS(US OSHA) This product is an article and therefore is not subject to the requirements of the US Occupational Safety and Health Administration's(OSHA)Hazardous Communications Standazd 29 CFR 1910.1200(b)(6)(v)to provide a Safety Data Sheet (SDS). EU REACH This product is an article,without intended release of a chemical substance,under the Regulation No 1907/2006 of the European Pazliament and the Council concerning the Registration,Evaluation,Authorisation and Restriction of Chemicals (REACH)(refer to REACH,Article 3(3)).It is not a chemical preparation.T'herefore,it is not subject to the(pre)-registration or the registration process.It does not require a safety data sheet. EU REACH This product,including any article that the product is composed of,does not contain at greater than 0.1%by weight a Substance of Very High Concern(SVHC)substance identified according to Article 59 of REACH.T'his declaration reflects the substances on the candidate SVHC list,effective June 2016. EU RoHS This product does not exceed the maximum concentration values(MCVs)in EU Directive 2002/95/EC(Restriction of the Use of Certain Hazardous Substances(RoHS)in Electrical and Electronic Equipment),as amended,and/or the MCVs set under EU Directive 2011/65/EU(RoHS recast),as stated in Annex II to that directive.This means that each of the homogenous materials within this product does not exceed the following MCVs: (a)0.1%(by weight)for lead,mercury, hexavalent chromium,polybrominated biphenyls or polybrominated diphenyl ethers; and(b)0.01%(by weight)for cadmium. Conflict Minerals Conflict Minerals,which the U.S. Securities and Exchange Commission("SEC")has defined as gold,columbite-tantalite (coltan),cassiterite,wolframite,or their derivatives(tin,tantalum,or tungsten),are not contained in and are not"necessary to the functionality or necessary to the production"of the above-listed product,as the term"necessary to the functionality or the production"is defined under the SEC's Conflict Minerals Rule.77 Fed.Reg.562�4(Sept. 12,2012).Adhesive liners and similar materials that function like packaging to preserve product usability up to and following product purchase aze not considered to be part of the product.They are out of scope for conflict minerals reporting(reference:National Association of Manufacturers Guidelines for Interpreting the SEC Conflict Minerals Disclosure Rule,section II). Page 1 of 2 ASTM E 84 TEST DATA Gient 3M Commer�ial Graphics Test Number. 4441-9119 Matterial Tesbad: 3MT""EnvisionTM P�int Vlhap Film 480Cv3 Date: September 9, 2013 Test Results: Time to Igni�on = Q0.78 minutes Maximum Fl�pread Distance = 01.92 feet Time�o Maximum Spr+ead = 01.28 minutes Fleme Spr�d Index = 1 a Smoke Dev�elc�ed Index = 0 20 �s 16 14 � 12 w 10 � 8 6 4 2 0 1'br�e,minutea 700 90 80 ye 70 8 � � 50 � �o � ao 20 �o 0 ��.�,� Page 4 of 4 hutnidity at 50 t 5 getc�nt Far testing, the panels were plaoed end-to-end on the ledges of the tunnel fumace and the test conducted with no awdliary support mechanism. TEST RESULTS 'f'he Ue.st results,calculabed an the basis of observed tlame propagati�and the i�begrated area under the recarded smoke density curve,are presented below.The Flame 5pread Index obtained in E84 is raunded tv the nearest number divisible by five. Smake Devel�ped lndiees are raunded to the nearest number dirrisible by five unless�e lndex is greaber than 200.In tfiat case,the Sm�ke Developed Index is rounded to�e nearest 50 poin�.The flame spread and smdce development dam are pr�senbed graphically at the end of this report. Test S ecimen FJame S read Iadex moke ev i er- in orce ement oar ,Grade II 0 Red E�k Flaxin 1� 100 3M'*�EnvisionT°'Prlut Wra Film 480Cv3 10 0 OBS6RVA'f10NS 5pecimen ignition over the burners occurred at 0.78 minute. Surface flame spread was obsesvaed to a ma�a,mum distance of 1.92 feet beyond the zero point at 1.28 mint�tes. Ttte maximum temperature recorded during the best was 589°F. CLASSiF(CATION The Flame Spread lndex and Smoke Devdoped Index values obtained by ASTM E84 bests are frequendy used by code ofFiaa(s and regulatory agenc�es in the aaceptance o�interior fsnish rnaterials for va�ricn�s applicaCions.The most widelq accepted dassification system is described in the National Fire Probedion Assocyation pubiication NFPA 101 Lefe Safety Code,where: C1ass A Q-25 Flame Spread Index 0-450 Smoke Developed Index C1ass B 26-75 Flame Spread Index 0-450 Smoke Develaped lndex C1ass C 76-200 F1ame Spread Index 0-�SQ Smoke Develc,ped Ir�dex Class A, B, and C corresp�d to Type�, II, and lII respectively in odier codes. They do not prec�ude a material being otherwise ctassihed by the authorit�of jurisdiet�on. Pa�e 3 of 4 INI'RODUC170N Thi� report is a pnesentation of resulis nf a surface flammabilifiy best on a mat+erial submit#+ed by 3M Commercial Graphics,St.Paul,Minnesota. The test was conducbed in accordance with the AS'I'M lnbematioa�al fire-test response standard E84-13a, Srtrface Burning Chm,acteristics of 8uilding Malerials,sometimes refernd to as the Sbeiner tunnel best.t�STM E84 iu� an American National Standard (ANSn and has been approved for � by agencies of the Department of Defense.The ASTM 884 test method is the teehnical equivalent of UI.No.723.The best is applicable bo exposed interior aurfaces such as walls and oeilings.The test is conducted with ti�e specimen , in the ceiling posifion with the surface to be evaluaied face down b�ward the igniiion source. Thus, speeimens shall eikher be self-supporting by its own struchiral quality,held in place by added supports alc�g the test surface,or secured from the back side. This standard is used to measure and d�cribe the response of materiais, products, or assembliea to heat and Rame under oontrolled conditions, but dces not by itsdf incorporate all factors required for fire- hazard or fire-risk assessment of�e mat�rials,products,or assemblies under ach�al frre wnditions. Pusros� The purp�e of the t�e�is to provide only the comparative measurements of surface flame spread and smoke develc�pme�t uf materials with that of select grade red oak and 8ber��reinforced cement board, Grade lI,under specific fire exposure conditiona.The t�est expo�es a nomina124foot long by 20-iach wide best apecimen to a controlled air flow and flaming fire adjusbed to spread the IIame along the entire lengdl of a red oak specimen in 5�minut�ees.During tfie 10-mirnite test duration,flam�p read over the eamen surEace and density of t!u resulting smoke aze measured and remrded.Test resulta are celcula�relative to red nak,which has an arbitrary rahing of�00,and fiber-reinforced cement bo�rd,Grade II,which has a rati�g vf 0. The test resulis are expressed as Ftame Spread Index and Smoke Developed Index. The Flame Spresd index is de6ned in AS7'M S 176 as"a number ar dassi6cation indicating a comparative measure derived fi�► observations made during the progress of the boundary of a zone af flame under de�ined test cv��diticros." The Smoke Developed Index, a term speafic fio ASTM E84, is def{ned as "a number or classi8cafion indieating a comparative measure derived from smoke obseurat�on data collec�ed during the Mat for surface burning characberistics." There is not necEssarily a relationship between t�he twu measurement�s. The method does not provide for measurement oF heat transmission through the surface tested,the effect of aggravabed iteme spread behevior of an assembly resulting from the proximity vf combustibl� v�alls and a�il�ngs,or classifying a maberial as noncombustible solely by means of a Flame Sgread Index. The zero reference and other parameters critical to furnac�e operation are veri6ed an the day of d�e best by canducting a 1Q-minute test using 1/4-incfi fiber-reinforced cement board,Grade II. Periadic tests using NOFMA cerdfied 23/32-inch seleet grade red oak FIooring provide daha for the 700 reference. TEST SA1N!'LE The test sample, selected by the dlen�, was identified as 3M'�Envisioa'*' Print Wrap Film 480Cb3, a self-adh�ring fi1m (Lot #H13048) with a tofial thiekt�ess of U.004". Three best panels, each measuring two fieet wide by dght feet in length, were prepared by adhecing the material to S/S-inch thick Type X gypsufn baard complying wit�ASTMSpec�flcation C 1396.The sampie wa�applied M the smoot�t side of the gy�psum wallboard using the self-adheriaB Pr'�P�'ties of khe sarnple,actd smoothed with a brush and roller. This method oF sample preparation is describ� in ASTM E2.404-13e1, Sbndard Prac6ce for 5y�cin�en Pfeprrration and Maenting af Ttxt�le,Paper or Palymeric flr�ch�ding Vinyl) Wa1I a�Ceiling Cvverings. and of Farings and Wood Veretrs Intende� ta be A�rlied oa Site O�er a 4Vood Substrate, M Assess 5urfiace Burning Chmr�christics, Section $.3, Wall or Ceiling Coverings Inbended to be Applied over Gypsum Board. After dead-stacking ovemigh#, the �mpared panels were trans�ferred to storage racks and mndi6oned to equilibrium in an aimosphere wit�the temperatur+e maintained at 7'1 t Z°F and the relative Pa�e 2 of{ COa1MERCIAL TESTINa CQM�Ai�I� 1215 3pt�th Hsmikon Str�eet•DalEnn,L;eorgis 30720 Telephone(708)278-3935•Facsimile(706)278-3936 Standard Method of'1'est for Surface Burning Characteristics�f Building Materials AS1'M E89-13a 3M'''�BnvisianT"'Print Wrap Film 48ACv3 Report Number 13-09097 Test Number 4441-9119 September 9,2013 3M Commercial Craphics St.Paul,Minneso4 Commercial Testing Campany $cc�ct. 4��v r .�,�K� rs report es provided r exclusinr uae of the c eent to adwne:t�s d .[t�eay be used itr cts enhret�l to gain p ct r�cuptance from duly constituted authoribics.The test resnits p►eaentad in this rrport appty oniy ro thr samples Epted med are not necusearUy indreative of ap�a�rxt rdentico!or sinrilar mattrials.Smrtple s�elaccEicn and identifcatiac�uere�rro�uted by the ciient.A sarnplmg pGm,if desrribed in the referenced test pmc�ure,was nor nexssurily,fallarued.This report„or the�of Conrnrericcka!?esten ,sha11 not be used undtr crrrumstance in�taertiein to the eneral blic. TESTED TO BE SiiRE� Sina 1974 P�e 1 of 4 3M Commeneie!Grephics ' Lunds & Byerlys: Vomela Wall Covering 3M,c� St.Paul,MN 53144-1 p00 ;� Cjcnetal 1-500-374-677Z Product Flsmmabilfty teformstion After a material ia subjected bo the ASTM E-84 test, it is given a ratiqg based on its performance during the test. Matcriais are classified into one of thrce groups based on their testcd flame spr�characteristics. These gmups and their flame spre,ad indexes are listed below: Class F1ame Spr¢ad Index 1 (A)0-25 II (H)26-75 III (C)76 200 Class I or(A)rating means it is the most fire resistant category that NFPA recognizes as necessary for interior wall and ceiling fini�h matcrials. Jt will be acceptable in any building in any locality that models its building code after NFPA 101 for wall or ceiling materials. NFPA l01 is a codc that provides minimum requirements far the desi.gn,operation and maiirtenance of building and structures for safety to life from fire and similar emergencies, The t�eq�uirements di€fer depending on the type of building. Many building cades require a smoke developed rating of 458 or less for building materials. 3M�Envisiod''"'�Pri�t Film 480Cv3 moets the requi�met�ts of Class [(A)and the srr�ok.e developed rating of less th�or equa!to 450. lf you have any qucstions about the featuros or perfonnance of this 3M praduct,please call . Commercial C3raphics Division Techrtical Service at 1-800 328-3948. . Sincerely, 3M Commercial Ciraphics Product Responsibility ��; / DATE TIME' CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED �a� z 'Ob ADDRESS_,?z'� 3� . SLipr�clr•rP .�ir�o OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION J �m� `��irl4s 4� OTING ❑ DEMO-FINAL �y ❑ SEPTIC FINAL � ❑ PO ED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W � J � {�I�i K �D4Jz/ ( � 77'9� �/' O � K� � r�.'��C ° ��.5 -�'GI v� v �r.� W � Q z , � ,/�� W � W � J O W RKSATISFACTORY:PROCEED ❑PROJECT COMPIEfE ❑COR ECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContrac on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��,__ �,�_ PERMR NO. COMPLETED � � ADDRESS .�J�.�3 v��/'�G�y�G ,�/►i U'Pr OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL LUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROO ❑ PLUMBING FINAL ❑ TREE�REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITB�INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC�NSTALL 2 OWNEWCONTRACTOR TO MEET ll� . YES_NO � COMMENTS: � � � _r /�P.�t e'P, �� r� i ,��'(fs�P � 0 � o � � Q 2w `� Z1 P(i 2 � �ic�� j W� KSATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑ RECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � O CORRECTVIbRK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WffHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCorrtra on site: � Inspector: VYhite CapyllnspectoPs File Canary CopylSite NWke c-_`�' � Z �� nMe CITY OF ORONO cALLED IN INSPECTION TI �!/ SCHEDULED �— — � PERMIT N C PLETED �_ ADDRESS 3 r' / OWNER TEL H NO. �3 `✓ CONTRACTOR � DESCRIPTION - ty ❑ FOOTING ❑ DEMO-FINAL EP FINAL Q ❑ POURED WALL ❑ PLUMBING RI XCA /GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL i dIMNERICOI�ITRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ) ��i �'u lC � � -�e l .� � � o �Ki'� s� �G � �CK�ruuc L �' � lC�i —'" f�e�[ S � � � /�t1 v�i(�(, G'� o►�t. -� C� !�` <� d' � �+ �/ k �� il��e ��"m� ,�v / Q � � Sn+ c9 ` oa �'' j C Q�/'Gf'` � • � �✓ /`G�( �eH '� `�-G!� ! �1 e � � , W O I KSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � RRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY W O CORRECT NfOHK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINQ PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TAT10N ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cab for the next inspection 24 hours in advance. (952) 249-4600 OMrnedContra on site: Inspector: White CoDYAnapactor's FlN Canary CopylSib Nofla DATE TIME CfTY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED _L� L 1�S ADDRESS •3Jl'JJr ��1��.l+��t B l � �. �NNER TELEPHONE NO. CONTRACTOR � DESCRIPTION ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOI�fTRACTOR TO Y�pU:_YES_NO � COMMEN'T� �[/��/ �, �/. PrON/'1GM � o l �t cuK� + !/'L � ° ��. `' � � r!�w" ^� ��. W � Q � .� � C'it�Gl G�' W o� � � v W KSATISFACTORIh PROCEED �PROJECT COMPLETE � O CO ECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT VIbRK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERINCa PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN -"� O STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED .,; ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advaru:e. (952) 249-4600 OwneNContra site: , Inspector: YVhite Copyllnspector's Flle Cenary CopylSits Notkx