HomeMy WebLinkAboutpermit info/MN dept of labor/industry i
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Minnesota Department of Labor and Indust �
P r,�.
Construction Codes and Licensing Division Re
Building Plan Review 11 3 MINNESOTA DEPARTMENT OF
443 Lafayette Road North 2014 LA B Q R & INDUSTRY
St. Paul,MN 55155
Phone: (651)284-5857 N ,�G, `t"`
vr�rr�.dli.mn.gov/CCLD/PlanConstruction.asotA �'° _ s w� Initial Application
PROJE ORMATION
PROJECT TITLE PROJECTED CONSTRUCTION VALUATION
Orono Elementary Center,2014 Fire Alarm Upgrade $160,000
PROJECT LOCATION(number and street name) ( ` COUNTY
685/7 Old Crystal Ba Road North {--,�, ��-,, ,`,, ,� r`�;� I Hennepin
PROJECT CITY or PROJECT TOWNSHIP (Ente(only the city or�,vnship,not both} ❑Check if outside city limits
Orono
OWNER(OR STATE AGENCY IF APPLICABLE) (OR ISD#IF APPLICABLE) \ CONTACT PERSON
Orono Public Schools Justin McCoy
ADDRESS PHONE
685 Old Crystal Bay Road North 952 449-8345
CITY STATE ZIP CODE E-MAIL
MN _ 55356 jmccoy@orono,kl2.mn.us
DESIGN FIRM PROJECT CONTACT
Wold Architects & Engineers Brad Johannsen
ADDRESS PHONE
305 St. Peter Street 651 227-7773
CITY STATE ZIP CODE E-MAIL
St. Paul IMN 155102 bjohannsen@woldae.com
PROJECT TYPE
(As defined by MN Statute 3266.103 Subd.11 and Subd.13)
❑ State Owned-A building and its grounds the cost of which are paid for by the state or state agency regardless of its cost.
✓❑ Public School District-A school district building project or charter school building project,the cost of which is$100,000 or more.
State Licensed Facility A building and its grounds that are licensed by the state as a:
❑hospital, nursing home, ❑supervised living facility, ❑free-standing outpatient surgical center,
❑correctional facility, ❑ boarding care, Q residential hospice.
If your project is not licensed specifically as listed above, the project is not under the jurisdiction of the Building Plan Review Unit.
CLASS OF WORK
❑ New Building Construction ❑Addition ❑✓ Remodeling Sprinklers IJ Yes ❑ No ❑ Partial
❑ Permit Only(submit documentation from regional building official) ANTICIPATED START DATE 06/15/2014
IBC OCCUPANCY CLASSIFICATION(S) IBC TYPE OF CONSTRUCTION
E A-3 II-B
PROJECT DESCRIPTION
Fire Alarm Replacement
APPLICANT INFORMATION
Upon receiving this completed initial application,we will confirm proper jurisdiction forthe project and assign a project number.We will notify
you in writing of the project number,where to submit your documents for review,and how inspections will be handled.If delegated to the
municipality,you will need to follow their procedures and fee schedule.Otherwise ourstandard application process will need to be followed.
I completed the information on this application and understand tha d does not authorize the start of construction.
APPLICANT NAME(PRINT) APPLICANT S GN TORE DATE PHONE
Nicholas Marcucci 04/30/2014 �(651)227-7773
APPLICANT MAILING ADDRESS CITY STATE ZIP E-MAIL
305 St. Peter Street St. Paul IMN 55102 inmarcucci@woldae.com
FOR OFFICE USE ONLY
❑Stateoca Ins ❑Local Both BLD- 9 Cj � /_'_ ,�
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This material can be made available in different forms. To request,call 1-800-342-5354(DIAL-DLI).
BCS 01 R(1/14)
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005
St Paul, Minnesota 561551-800-342-4364& INDUSTRY
1-800-342- 354
LABOR I1`ID
www.dii.mn.gov US
PROJECT JURISDICTION AGREEMENT
BUILDING OFFICIAL: Date: 5/1/2014
City of Orono Building Official
Lyle Oman 7?014
2750 Kelley Pkwy clnr
Orono, MN 55356 OFORONO
Project: ISD 278/Orono Elm Ctr& Intermediate 2014 Fire Alarm Upgrade
Location: ORONO, MN 55356
Address: 685 Old Crystal Bay Rd
State Plan Review Number:BLD1405-00003 Date Received: 4/30/2014
Building Official:
Pursuant to the Municipal Delegation Agreement between the Minnesota Construction Codes
and Licensing Division and the CITY OF ORONO attached is a copy of the notice to the
Architect/Designer of the project described above delegating building code administration to
your office per agreement.
Sincerely,
CONSTRUCTION CODES AND LICENSING DIVISION
Jerry Norman
Supervisor Building Plan Review
GN:mw
This information can be provided to you in altemative formats(Braille;large print or audio).
An Equal Opportunity Employer
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005
St Paul, Minnesota 55155 LABOR & INDUSTRY 1-800-342-5354
www.dii.mn.gov
PERMIT JURISDICTION AGREEMENT
ARCHITECT/ENGINEER: Date: 5/1/2014
Brad Johannsen
Wold Architects & Engineers
305 St Peter St
St Paul, MN 55102
Project: ISD 278/Orono Elm Ctr& Intermediate 2014 Fire Alarm Upgrade
Location: ORONO, MN 55356
Address: 685 Old Crystal Bay Rd
State Plan Review Number: BLD1405-00003 Date Received: 4/30/2014
Pursuant to our Municipal Delegation Agreement between the Minnesota Construction Codes
and Licensing Division and the CITY OF ORONO
BUILDING PLAN REVIEW FOR THIS PROJECT WILL BE DONE BY THIS DIVISION AND
BUILDING INSPECTIONS WILL BE DONE BY THE CITY OF ORONO
Please refer to our website: www.dIi.mn.gov/CCLD/PlanConstruction.asp for the Application for
Plan Review and the Plan Review Fee Calculator. The application must be completed, signed
and submitted along with the appropriate fee, plans and specifications. Since the municipality
will be issuing the Building Permit, please use the 75% Plan Review Fee on the Plan Review
Fee Calculator. Please include the State Plan Review Number listed above on all submittals.
Once approved by this division the municipality may issue the building permit. The municipality
may charge 25% of their plan review fee in addition to their building permit fee. Provide the
municipality with our State Plan Review Number for tracking purposes.
Please be advised that this Permit Jurisdiction agreement is NOT an agreement with the
Minnesota Department of Labor and Industry(MNDLI) Plumbing Plan Review and Inspection
Unit. Plumbing plans, specifications, and appropriate fees must be submitted to the Plumbing
Plan Review and Inspection Unit or the appropriate local jurisdiction identified at
www.dii.mn.gov/CCLD/PDF/pe planrevagree.pdf For additional information concerning MNDLI
plumbing plan reviews and inspections please visit www.dli.mn.aov/CCLD/Plumbing.asr)
Sincerely,
CONSTRUCTION CODES & LICENSING DIVISION
*eN orman
Supervisor Building Plan Review
GN:mw
C: Building Official
IIS
I�
This information can be provided to you in alternative formats(Braille,large print or audio). f
An Equal Opportunity Employer E
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651) 284-5005
Paul, Minnesota 55155 AwtkkLAB w R & I NDUSTRY 1-800-342-5354
www.dli.mn.gov (�
PERMIT JURISDICTION AGREEMENT
ARCHITECT/ENGINEER: Date: 2/18/2015 <:_.'
VZO
Nick Marcucci FEE
Wold Architects & Engineers 25 215
305 St Peter St
St Paul, MN 55102
Project: ISD 278 - Orono High 2015 Fire Alarm Upgrade
Location: ORONO, MN 55356
Address: 685 Old Crystal Bay Rd
State Plan Review Number: BLD1502-00087 Date Received: 2/18/2015
Pursuant to our Municipal Delegation Agreement between the Minnesota Construction Codes
and Licensing Division and the CITY OF ORONO
BUILDING PLAN REVIEW FOR THIS PROJECT WILL BE DONE BY THIS DIVISION AND
BUILDING INSPECTIONS WILL BE DONE BY THE CITY OF ORONO
Please refer to our website: www.dli.mn.gov/CCLD/PlanConstruction.asp for the Application for
Plan Review and the Plan Review Fee Calculator. The application must be completed, signed
and submitted along with the appropriate fee, plans and specifications. Since the municipality
will be issuing the Building Permit, please use the 75% Plan Review Fee on the Plan Review
Fee Calculator. Please include the State Plan Review Number listed above on all submittals.
Once approved by this division the municipality may issue the building permit. The municipality
may charge 25% of their plan review fee in addition to their building permit fee. Provide the
municipality with our State Plan Review Number for tracking purposes.
Please be advised that this Permit Jurisdiction agreement is NOT an agreement with the
Minnesota Department of Labor and Industry (MNDLI) Plumbing Plan Review and Inspection
Unit. Plumbing plans, specifications, and appropriate fees must be submitted to the Plumbing
Plan Review and Inspection Unit. For additional information concerning MNDLI plumbing plan
reviews and inspections please visit www.dli.mn.gov/CCLD/Plumbing.asp
Sincerely,
CONSTRUCTION CODES & LICENSING DIVISION
erry Norman
Supervisor Building Plan Review
GN:mw
C: Building Official
This information can be provided to you in alternative formats(Braille, large print or audio).
An Equal Opportunity Employer
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651) 284-5005
St. Paul, Minnesota 55155 1-800-342-5354
www.dii.mn.gov LABOR & INDUSTRY
Ammik
PROJECT JURISDICTION AGREEMENT
BUILDING OFFICIAL: Date: 2/18/2015
City of Orono Building Official
Lyle Oman
2750 Kelley Pkwy
Orono, MN 55356
Project: ISD 278 - Orono High 2015 Fire Alarm Upgrade
I..ocation: ORONO, MN 55356
Address: 685 Old Crystal Bay Rd
State Plan Review Number: BLD1502-00087 Date Received: 2/18/2015
Building Official:
Pursuant to the Municipal Delegation Agreement between the Minnesota Construction Codes
and Licensing Division and the CITY OF ORONO attached is a copy of the notice to the
Architect/ Designer of the project described above delegating building code administration to
your office per agreement.
Sincerely,
CONSTRUCTION CODES AND LICENSING DIVISION ^.
Jerry Norman Ty Q�
Supervisor Building Plan Review Q�Q
O
GN:mw
This information can be provided to you in alternative formats(Braille, large print or audio).
An Equal Opportunity Employer