HomeMy WebLinkAboutCertificate of Compliance_4045 Bayside Rd_1-27-21 (5)ATE TIME
CITY OF CALLED -IN .27,/a -,.a I
SCHEDULED
PERMIT NO. S'C S — O COMPLETED
ADDRESS AlaAls . s: a� 00
8—
.
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❑ SITE INSPECTION
❑ CONC SLABS
❑ FOOTING
❑ POURED WALL
❑ FOUND. DRAINAGE
❑ FRAMING
❑ SHEATHING
❑ PLUMBING RI
❑ PLUMBING FINAL
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❑ MECHANICAL RI
❑ MECHANICAL FINAL
❑ INSULATION
❑ RATED ASSEMBLY
❑ BUIPaiNG FINAL
Q§ePTIC I
SEPTI
❑S&W R015RUP
❑ GAS LINE MANOMETER
❑ REINSPECTION
❑ FOLLOW-UP
❑ COMPLAINT
❑ FIREPLACE
❑ SPRINKLER SYSTEM
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complies with MPCA Rules 7080 81 82 83 and
is a compliant system.
FU ER CORRECTIONS MAY BE REQUIRED 11P-EMAIFiNALED
ORK SATISFACTORY: PROCEED ❑ PH
❑ CORRECT WORK & PROCEED
❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Owner/Contr. on site:
Inspector: oc
V61
D TE TIME
CI OF j�A CALLED -IN 446
I
SCHEDULED
PERMIT O. 57C ��-� Q�, COMPLETED
DRESS Iva y� n� s, • �� yea,
OWNER/CONTR.
❑ SITE INSPECTION
❑ LATH
❑ FOOTING
❑ POURED WALL
❑ FOUND. DRAINAGE
❑ FRAMING
❑ PLUMB. RI UNDERGROUND
❑ PLUMBING RI
❑ PLUMBING FINAL
1i7a1iTjIX •YiC
❑ MECHANICAL RI
❑ MECHANICAL FINAL
❑ INSULATION
❑ RATED ASSEMBLY
❑ gUILDING FINAL
EPTIC INSTALL
❑ SEPTIC FINAL
❑ S & W HOOKUP
❑ GAS LINE AIR TEST
❑ REINSPECTION
❑ FOLLOW-UP
❑ COMPLAINT
❑ FIREPLACE
❑ SPRINKLER SYSTEM
❑ ROOFING
❑ SIDING
❑ WINDOWS
❑
F4KTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED
WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
❑ CORRECT WORK & PROCEED
❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on site:
METRO
INSPECTION
• 763-479-1720 ,
i O 248 O R
CITY O L -
WORKSHEET FOR SEWAGE DISPOSAL WORK
Dater*�a c ox
Inspector odd C7_ Building Permit No.
Owner �5
Property Address ya Y`5 ��.i S. °�` ►�c1 -
Kind of Building 5F�
SSTS InstallerLicense # L 41c,3q
is Tanks
aterial Number of
Size �;.2)_C
.TF.r»rara
Total length of lines
Type of soil
Width of trench
Number of lines
Percolation Test
Type of filter material
Tanks
Siz Ic Bed Size of Absorption Area
w detailed diagram with measurements indicating distances to septic tank risers from a