Inspections - 2478 Black Lake Road - 5/28/2021MINNESOTA GAS CO. MAINTENANCE ORDER NO. 7450
❑ MAIN XX SERVICE PAV. CUT NO.. LEAK RPT. NO.
DATE 10-29-81 MUNIC. Spring' Park RESP. ACCT. NO.
FPC -or - E NO. 892
LOCATION: 2478 Blank Lake Road
NATURE OF WORK Repair Service
FOREIGN STRUCTURES
PRESS. CL.
NEW
SURFACE DISTURBED
Tale
❑ 1 0 A
TAP
❑ Road Mix Bituminous ❑ Dirt -
Elec �
O 2 ❑ C
SIZE
❑ Hot Mix Bituminous 0 Gravel
❑ 5 ❑ E
❑ Portland Cement Concrete ❑ Oiled Earth
Light/Traf. Cable
p 6 ❑ F
❑ Roadway ❑ Blvd. ❑ Walk ❑ Alley
0 8 ❑ K
Size Disturbed
Other
PIPE LENGTH ❑ Same Ft. Longer Ft. Shorter Ft. Abandoned
SERVICE TAP MEASUREMENT
DATESTARTED COMPLETED B-91-81 FOREMAN NPhy
TRUCK NO. TOWN NO. FOREMANS P.R. NO.
To the (City EngineerE;.��
(City Council
(Village Council
(Town Board
The undersigned hereby
requests permission
to perform the work
indicated above.
MINNESOTA
GA COMPANY
By
r
(Authorized Signature)
To the Minnesota Gas Company
Permission is hereby granted the Minnesota Gas Company to perform
the work indicated above.
of
Date By
(Authorized Signature)
FORM 45A R3/78
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// D TEa TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SIB SCHEDULED ._ l
PERMIT NO. COMPLETED ll
ADDRESS 7,P leek
OWNER4 424 � CONTR. 71�"
TELEPHONE NO. Jlef 6,116,7
DESCRIPTION
W 01 FOOTING 11 MECHANICAL RI
16 WELL TEST PUMP
W 02 FRAMING 11 MECHANICAL FINAL
h
18 EXCAV/GRADING/FILLING
03 INSULATION 24125 WOOD BURNER/FIREPLACE
19 LAKESHOREM/ETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP
34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON
17 SITE INSPECTION
07 DEMO —SITE 14 SEWER HOOK-UP
06 PROGRESS
v 07 DEMO —FINAL 27 SEPTIC MAINT.
21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL.
22 FOLLOW-UP
10 PLUMBING FINAL 23 SEPTIC FINAL
v
OWNERICONTRACTOR TO MEET YOU: _ YES _ NO
COMMENTS:
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O ❑ CORRECT WORK, CALL FOR REINSPECTION
TEMPORARY
0 BEFORECOVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
Call for the nei I inspection 24 hours in advance. 473-7357
Owner/Co nt r o ite:
Inspector.
White Copy/Inspector's F�le Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER
TELEPHONE NO.
CONTR.
\
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iEDESCRIPTION
01 FOOTING
1 IMECHANICAL RI
18 SICAVIGRADINGIFILLING
02 FRAMING
13 MECHANICAL FINAL
19 LAKESHORE/WETLANDS
03 INSULATION
24/25 WOOD BURNER/FIREPLACE
344 TREE REMOVAL
04 WALL BD.
12 WATER HOOK-UP
//IITE INSPECTION
/ i7
05 FINAL
14 SEWER HOOK-LIO
PROGRESS
07 DEMO —SITE
27 SEPTIC MAINT.
21 COMPLAINT
07 DEMO —-FINAL
15 SEPTIC INSTALL
22 FOLLOW-UP
09.PLUMBING RI
23 SEPTIC FINAL
35 HARD COVER REMOVAL
10 PLUMBING FINAL
36 FOUNDATION REMOVAL
OWNER/CONTRACTOR
TO MEET YOU: YES NO
❑ WORK SATISFACTORY: PROCEED
❑ CORRECT WORK & PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION
BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
❑ PROJECT COMPLETE
❑ ISSUE CERTIFICATE OF OCCUPANCY
TEMPORARY
PERMANENT
❑ PHOTO TAKEN
❑ CITATION ISSUED
Call for the next inspection 24 hours in advance. 473-7357
Owner/Contractor on
Inspector.
White CopylInspector's File Canary Copy/Site Notice
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CITY OF ORONO
CALLED IN
l DATE TIME
/f /2 - q&
INSPECTION NOTICE SCHEDULED
11- /2
PERMIT NO.
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ADDRESS
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OWNER
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TELEPHONE NO.
DESCRIPTION
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01 FOOTING
11 MECHANICAL RI
16 EXCAV/GRADING/FILUNG
02 FRAMING
13 MECHANICAL FINAL
19 LAKESHORE/WETLANDS
03 INSULATION
24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD.
12 WATER HOOK-UP
17 SITE INSPECTION
14 SEWER HOOK-UO
06 PROGRESS
07 DEMO —SITE
27 SEPTIC MAINT.
21 COMPLAINT
07 DEMO --FINAL,
15 SEPTIC INSTALL
22 FOLLOW-UP
09 PLUMBING RI
23 SEPTIC FINAL
35 HARD COVER REMOVAL
10 PLUMBING FINAL
36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES _ NO
Cf)MMFNTS-
71
❑ WORK SATISFACTORY. PROCEED
J
❑ ORRECT WORK & PROCEED
CORRECT WORK, CALL FOR REINSPECTION
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❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
PROJECT COMPLETE
❑ ISSUE CERTIFICATE OF OCCUPANCY
TEMPORARY
PERMANENT
C PHOTO TAKEN
❑ CITATION ISSUED
Call for the next inspe ion 24 hours in advance. 473-7357
Owner/Contractor o i
Inspector. OAUV
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED
ADDRESS—a/L F ,�� o�p�o, • �.
OWNER CONTR.
TELEPHONE NO.
DESCRIPTION
1 FOOTIN
11 MECHANICAL RI
18 EXCAV/GRADINO/FIWNG
02 FRAMING
13 MECHANICAL FINAL
19 LAKESHORE/WETLANDS
03 INSULATION
24/25 WOOD BURNER/FIREPLACE
34 TREE REMOVAL
04 WALL BD.
12 WATER HOOK-UP
17 SITE INSPECTION
05 FINAL
14 SEWER HOOK-UO
06 PROGRESS
07 DEMO —SITE
27 SEPTIC MAINT.
21 COMPLAINT
07 DEMO --FINAL
15 SEPTIC INSTALL
22 FOLLOW-UP
09 PLUMBING RI
23 SEPTIC FINAL
35 HARD COVER REMOVAL
10 PLUMBING FINAL
36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU: _YES _ NO
WORK SATISFACTORY: PROCEED
❑ PROJECT COMPLETE
CORRECT WORK & PROCEED
0 ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK, CALL FOR REINSPECTION
TEMPORARY
BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN
C PHOTO TAKEN
❑ STOP ORDER POSTED. CALL INSPECT R
El CITATION ISSUED
❑ INSPECTION REQUIRED. CALL TO AR NGE ACCESS.
Call forth xt in tion 24 hours in advance. 473-7357
OwnedContract site:
Inspector.
White Copy/Inspector's File .l Canary Copylslte Notice
k ,
CITY OF ORONO
INSPECTION NOTICE
PERMIT NO.
ADDRESS
OWNER
TELEPHONE NO.
DESCRIPTION
ATE TIME
CALLED IN
SCHEDULED
L
M LETE��D
i^' 4
_ CONTR.
01 FOOTING
11 MECHANICAL RI
02 FRAMING
13 MECHANICAL FINAL
03 INSULATION
24/25 WOOD BURNER/FIREPLACE
04 WALL BD.
12 WATER HOOK-UP
05 FINAL
14 SEWER HOOK-UP
07 DEMO - SITE
27 SEPTIC MAINT.
07 DEMO - FINAL
15 SEPTIC INSTALL.
09 PLUMBING RI
23 SEPTIC FINAL
10 PLUMBING FINAL
OWNER/CONTRACTOR TO
MEET YOU: _ YES _ NO
18 EXCAV/GRADING/FILLING
19 LAKESHORE/WETLANDS
6REE REMOVAL
ITE INSPECTION
06 PROGRESS
21 COMPLAINT
22 FOLLOW-UP
35 HARD COVER REMOVAL
36 FOUNDATION/REMOVAL
COMMENT
f t( f'S0 ( °lam
❑ WORK SATISFACTORY: PROCEED
❑ C RRECT WORK & PROCEED
CORRECT WORK, CALL FOR REINSPECTION
BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
❑ PROJECTCOMPLETE
❑ ISSUE CERTIFICATE OF OCCUPANCY
TEMPORARY
PERMANENT
❑ PHOTO TAKEN
❑ CITATION ISSUED
Call for the next inspection 24 hours in advance. 4734357
Owner/Coi
Inspector.
White Copy/inspector's File Canary Copy/Site Notice
TIME
CITY OF ORONO CALLED IN
I'VA 9�
INSPECTION NOTICED SCHEDULED
PERMIT NO. // COMPLETED
N -
7
v
,J
ADDRESS
OWNER CONTR.
TELEPHONE NO. 7 - 35 737
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DESCRIPTION
01 FOOTING 11 MECHANICAL RI
18 EXCAV/GRADING/FILLING
�Q 02 FRAMING 13 MECHANICAL FINAL
19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
12 WATER HOOK-UP
17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UO
06 PROGRESS
F` 07 DEMO —SITE 27 SEPTIC MAINT.
21 COMPLAINT
J
W 07 DEMO —FINAL 15 SEPTIC INSTALL
22 FOLLOW-UP
2 09 PLUMBING RI 23 SEPTIC FINAL
35 HARD COVER REMOVAL
v 10 PLUMBING FINAL
36 FOUNDATION REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES _ NO
ti COMMENTS:
a
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cc
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W
W
cc
Q
12
2
W
x
W
CC
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ty ORK SATISFACTORY: PROCEED
-PROJECT C OMPLETE
❑ ORRECT WORK 8 PROCEED
W -
❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK CALL FOR REINSPECTION
TEMPORARY
V BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
Call for the to Mion 24 hours in advance. 473-7357
A
Owner/Contractor
Inspector.
White Copy/Inspector's File I Canary Copy/Site Notice
CITY OF ORONO
INSPECTION NO'
PERMIT NO.
B 1 i1 4*1
CALLED IN
SCHEDULED
COMPLETED
ATE
_ D�0
922—[Z
TIME
/o : OC
OWNER CONTR. �A&ice�k"-cl' fld f'�e..c
TELEPHONE NO. S� J? 3 t� , ` ry/
DESCRIPTION t-e.<A %/, / -�X
01 FOOTING
11 MECHANICAL Fff
18 EXCAV/GRADING/FILLING
02 FRAMING
13 MECHANICAL FINAL
19 LAKESHORE/WETLANDS
03 INSULATION
24/25 WOOD BURNER/FIREPLACE
34 TREE REMOVAL
04 WALL BD.
12 WATER HOOK-UP
17 SITE INSPECTION
05 FINAL
14 SEWER HOOK-UP
06 PROGRESS
07 DEMO - SITE
27 SEPTIC MAINT.
21 COMPLAINT
07 DEMO - FINAL
15 SEPTIC INSTALL.
22 FOLLOW-UP
09 PLUMBING RI
23 SEPTIC FINAL
35 HARD COVER REMOVAL
10 PLUMBING FINAL
36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: _ YES _ NO
COMMENTS:
P_f WORK SATISFACTORY: PROCEED
❑ CORRECT WORK & PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION
BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
❑ PROJECT COMPLETE
❑ ISSUE CERTIFICATE OF OCCUPANCY
TEMPORARY
PERMANENT
❑ PHOTO TAKEN
❑ CITATION ISSUED
Call for the n�xt inspection 24 hours in advance. (J52) 249-4600
Inspector.
White
Canary Copy/Site Notice