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J <br /> FEB 18 '00 11:40AM WOLD ARCHITECTS v� lv VJ VF.2/3 <br /> d <br /> ' I&*4E�S Depaitruent of Adxnixuic <br /> INITIAL APPLICATION FOR PLAN REVIEW <br /> Please fill out this application and return it to the Building Codes and Standards Division approximately four(4) <br /> weeks prior to your expected plan review submittal. Failure to submit this form may result in up to a three (3) <br /> week delay in the processing of the plan review application. This initial application will help us expedite your <br /> review. <br /> Proj ct Title onstntetion V;t erasion <br /> Ii d t'EiY&Y� l�-S.5clf <br /> ! Z :Gita Addeess TOwitshtp <br /> i /0 , o t.i, C lLyST-A-t- (Z.D, <br /> i r City.State,Zip <br /> SS►35(o Coun l� <br /> 4VI-I OW dr'3 ConlaCt Persein <br /> vMcr AGdMU -- e-. F�r cL k WL- <br /> i OwnerPhona <br /> City,stz«,Zip I Ca62 � ��f9 f�32 2 <br /> tate Agency(if App kable) <br /> ZW o d dla- . *, � Firm Coneet i'erso+t <br /> . : ret Address r LQ/tfYJ1. <br /> Pk4iQr 15t' Phone 7,tp 2 <br /> 27 -7773 <br /> !y.ti re, <br /> - �t,....� an n Fax ( Gsr )723 --5644v <br /> Publlc(state)building paid for by tide state or other state agency as a: Q State College l.•.I Zoo O D,O.T. U D.N.i?. <br /> D State University J National Guars; O Statc Ho3pital O Statc FIorne O Capital Complex <br /> Q Other:specify <br /> 1 J ,U <br /> Public school district building of S 100,000 or morr in construction cost. <br /> i = � <br /> U State Licensed Facility licensed as a: 0 Hospital O Nuninb Iiotne O Correctional Facility <br /> O Supervised Living Facility Cl Frec-standing Outpatient Surgical Ccntcr <br /> l O Other; speciry <br /> i O New Building Construction U Addition 9Potnodcling U Othcr,specify <br /> U9C Occupancy Clasaitication(s): <br /> UBC Type of Construction: <br /> PfOject Descriptiotr <br /> (1( J� <br /> tv isil —qtr vrcocoC ��-/Va-seek �Yt,ke,,�pl2�e 't c.yr�#��Y' <br /> .L.okw..., f �ruv t d e: s rr--e�P.2 QY .r.e cbrt <br /> Total Projected Construction Valuation;`4400 l700 <br /> Upvn receiving the eompleted initial application we will confirm that we are the proper jurisdiction for the <br /> project, assign it a project number for tracking and determine if the city/municipality will do the plan review, <br /> the inspections, both or neither. We will notify you of the project number,where to submit your documents for <br /> review and how the inspections will be handled. If delegated to the city/municipality, you will only need to <br /> follow their procedures and fee schedule. If your submittal is to the BCSD, our standard 2pplication process <br /> :vill ticed to be followed, <br /> Xrowledge tl:a tapplication to riot a Bcritdiiry p�rmtt, nor does it uurhorize MariIlof consa-urtirnr. <br /> pl • 2. 1 Ov <br /> srt <br /> .7ate <br /> �R- <br /> ing Codes and Standurds Division.408 Mciro Square Stiilding. 121 7th Plxc East, St. Paul. MN 55lul-2181 <br /> Voice:651,296.4639. Fax: 651.297.1973.TTY: I S(X),627,3529 and ask (or 29ti.9y29 <br /> co <br /> L <br /> 0 <br /> 0 <br /> v <br /> N <br /> 6512235646 => MN BLDG CODES STDS ,TEL=6512971973 02/18199 11 :43 <br />