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HomeMy WebLinkAboutpermit info/MN dept of labor/industry i 31 —72 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 � /_'_ ,� I -i —C;'C�';C 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