HomeMy WebLinkAboutLetter from Department of Human Serivces State of Minnesota
Department of Human Services
Human Services Building
444 Lafayette Road
St.Paul,Minnesota 55155
August 14, 1996
City of Orono
P 0 Box 66
Crystal Bay, MN 55323
RE: Zoning Notification of Application for Department
of Human Services Program License.
This is to inform you that we have received an application for a program
license under Minnesota Rules, Parts 9503.0005 to 9503.0175 for Wayzata Kidz
Place, 850 Wayzata Blvd, Wayzata, MN 55391, to provide day care for 30
children.
Issuance of this license is subject to compliance with the provisions of the
Minnesota Statutes 1988, Sections 245A.11 and 245A.14.
If a copy of this statute is required, please contact the Division of
Licensing.
If we do not hear from you within 30 days of the receipt of this letter, we
will consider this facility to be in compliance with your local zoning code.
If you have any questions, please call Barbara Gerstenhaber at 612-296-6314.
Sincerely,
14),,ort. 'lir/ - '
ja
Kathy Chinder
Division of Licensing
AUG 6
AN EQUAL OPPORTUNITY EMPLOYER
A5-0116/DT 13.93
INTERAGENCY REQUEST FOR INSPECTION ' � TURN TO: Division of Licensing
•Ii MN Dept. Human Services
0 71, /S' "`'" 0f D 444 Lafayette Road
St. Paul, MN 55155
TO: � Gn� , [ ] State/Local Health Inspector
6 6 !JUL 1o • Local Building Code Inspector
v ) State/Local Fire Inspector
i P7-/7 5 53-:z 3
FROM: e_)-/ . 4,-a -v"`1-ce-,20
-63yLicensing Consultant DATE: //,&-//,,S---
Prior
Prior to issuing a license, verification is required that a facility is in compliance with
appropriate state or local codes for health, building and fire. Please complete the
appropriate section and return to the Licensing Division with any orders attached. A copy
of orders should be provided to the program. /�
Name of Facility: Proposed Use: Ge ,�
Name of Program: 1,U .&-7-L erL. Phone: y7 3 -7 Lis--
Address:8"SO WA- a--", oiL L J Pmt 0217SS3 7' /
Street C' ' Zip
Area to be used: Numbers and Age Ranges of Participants: Facility Plans to
Basement [ 6 wks. to 16 mos. serve handicapped:
First [ 16 mos. to 2 1/2 yrs. 7 Yes [ ]
Second [ ] 2 1/2 yrs. to 6 yrs. K No [
Other [ ] 6 yrs. to 12 yrs.
Specify: over 12 yrs.
3S
HEALTH REQUEST: [ ] Licensed [ ] Not Licensed [ ] Application left or mailed
[ ] No orders necessary at time of inspection [ ] Major orders issued
( ] Minor orders issued [ ] Major revisions needed before license can be issued
Signature: Date: Comments: Reverse side
BUILDING CODE REQUEST: [ ] Not applicable: facility located in non-coded area of state
Date of referendum vote removing code requirements:
Signature and Title of Local Official: Date:
An inspection is required for all proposed facilities located in a code area which
involves new construction, major renovating or change in occupancy i.e. any facility not
currently used for the proposed usage. Inspection shall be in accordance with the E-3
Occupancy of the Minnesota Uniform Building Code.
[ ] Facility meets requirements
[ ] Facility does not meet requirements and cannot be occupied until orders are met.
[ ] Facility does not meet requirements, but may temporarily be occupied pending
completion of orders until
Signature of Building Code Inspector:
Certificate Number: Date: Comments: Reverse side
FIRE CODE REQUEST: A fire inspection_ is required for all proposed facilities.
Facilities located in an area of the state under the Uniform Building Code must meet the
E-3 occupancy requirements of that code in addition to applicable fire code
requirements. (If both codes address a specific area, the UBC takes precedence over the
fire code. )
Facilities located in an area of the state not under the Uniform Building Code must meet
applicable fire code requirements.
In either instance, the Minnesota Uniform Fire Code applies.
[ ] Facility meets requirements of the fire code
[ ] Facility does not meet requirements of the fire code and cannot be occupied
until orders are met
[ ) Facility does not meet requirements, but may temporarily be occupied pending
completion of orders until
Signature of Fire Inspector: Date:
Comments: Below
Comments: • / y�
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