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PROJECT JURISDICTION AGREEMENT - r r 17% :Tr--
COPY
rCOPY TO BUILDING OFFICIAL:
Oman, Lyle Edward Date: 4/28/97 MAY 2 - '
City of Orono - -
Box 66
Crystal Bay MN 55323
Project Title: Orono H.S. Sprinklering
Location: City of Orono
Description: Sprinklering of school
Date Received: 4/23/97
Assigned Project Number: 970186
Dear Building Official:
Attached is a copy of the notice to the Architect/Designer of the project described above
as to the agreement reached between the Minnesota Building Codes and Standards Division
and City of Orono delegating building code
administration to your office as per our agreement on this project.
Yours truly,
BUILDING CODES_STANDARDS
Stephen P. Hernick
Supervisor, Plan Review
SPH:p
Attachment PaFormRI
Building Codes and Standards Division,408 Metro Square Building, 121 7th Place East, St. Paul,MN 55101-2181
Voice: 612.296.4639; Fax: 612.297.1973;TTY: 1.800.627.3529 and ask for 296.4639
11,Fs?P: •
SODepartment of Administration
PROJECT JURISDICTION AGREEMENT
ARCHITECT/ENGINEER:
Wold Architects & Engineers Date: 4/28/97
6 W 5th St.
St. Paul MN 55102
PROJECT: Orono H.S. Sprinklering
LOCATION: City of Orono
COUNTY: Hennepin
DESCRIPTION: Sprinklering of school
ADDRESS: 795 Old Crystal Bay
*****************************************
* ASSIGNED PROJECT NUMBER: 970186 Date Received: 4/23/97
*****************************************
An agreement has been reached between the Minnesota Building Codes and Standards
Division and City of Orono ,whereby the
PLAN REVIEW AND BUILDING INSPECTION
will be done by City of Orono
Please submit all plans, specifications, and appropriate fees to
City of Orono
You must follow their submittal process and fee schedule.
Please refer to our assigned project number for their tracking purposes.
The City will also be responsible for issuance of the certificate of occupancy.
Sincerely,
/AL- t-7 /6"--",
Stephen P. Hernick
Supervisor, Plan Review
SPH:p
c: Building Official PaFormRI
Building Codes and Standards Division,408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 61-'296.4639; Fax: 612.297.1973;TTY: 1.800.627.3529 and ask for 296.4639
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005
St. Paul, Minnesota 55155 LABOR & INDUSTRY 1-800-DIAL-DLI
www.doli.state.mn.us TTY: (651)297-4198
PROJECT JURISDICTION NOTIFICATION
COPY TO BUILDING OFFICIAL: Date: 10/27/2008
Oman, Lyle Edward
7765 Pleason Ave.
South Haven MN 55382
Project Title: Orono HS Phase II Int/Ext Renovations
Location: City of Orono
Address: 795 Old Crystal Bay Road North
This information can be provided to you in alternative formats(Braille,large print or audiotape). PaFormNC
An Equal Opportunity Employer
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005
St. Paul, Minnesota 55155 LABOR & IItiiDUSTRY 1-800-DIAL-DLI
www.doli.state.mn.us TTY: (651)297-4198
PERMIT REQUIREMENTS
ARCHITECT/ENGINEER: Date: 10/27/2008
Nick Marucci
Wold Architects & Engineers
305 St. Peter Street
St.Paul MN 55102
PROJECT: Orono HS Phase II Int/Ext Renovations
LOCATION: City of Orono
COUNTY: Hennenin
DESCRIPTION: Phase II Mech/Electrical Unerades
ADDRESS: 795 Old Crystal Bay Road North
*****************************************
* ASSIGNED PROJECT NUMBER: 20080508 Date Received: 10/27/2008
*****************************************
We have reviewed your initial application for this"Public Building" or"State Licensed Facility" (M.S. 16B.60)and
determined that it is located in a jurisdiction that will not be administering the building code for this project.
According to M.S. 16B.61 Sub.la,the Commissioner shall administer and enforce the State Building Code as a
municipality. Therefore,please be aware that CONSTRUCTION MAY NOT BEGIN UNTIL BOTH PLAN
APPROVAL AND REQUIRED PERMITS ARE FIRST OBTAINED FROM THIS OFFICE.
Please complete the enclosed "Application for Plan Review" (if not yet submitted)and return it along with all •
required application materials. We will review the documents for compliance with the Minnesota Building Code and
issue a Plan Review Report. When compliance has been achieved,we will issue a Plan Review Complete letter.A
"Building Permit Application" is also enclosed. The owner or authorized agent acting on behalf of and contractually
for the owner must complete and return the building permit application and fee to obtain a building permit. An
inspector for the state will be assigned to this project to verify compliance with the requirements of the Minnesota
State Building Code. Also,please note that land-use zoning permits may be required by the local jurisdiction before
beginning construction.
Thank you for your assistance. •
Sincerely,
..011111111,
Jerry Norman,Supervisor
Building Plan Review
GN:mw
c: Regional Building Official
Plumbing Unit
Municipal Building Official(if applicable)
enc: Applications for Plan Reveiw and Building Permit
This information can be provided to you in alternative formats(Braille,large print or audiotape). Pa FormNC •
An Equal Opportunity Employer .
Minnesota Department of Labor and Industry /0•07gi
Construction Codes and Licensing Division
li
Building Plan Review/Inspections MINNESOTA DEPARTMENT OF
Lafayette Road North LABOR $t~ INDUSTRY
St.Paul, MN 55155-4341
Phone: (651)284-5068 Fax: (651)284-5749
www.doli.state.mn.us/buildingcodes Application for Plan eview ,
TTY: (651)297-4198 it.5 e_�l l{S //'j r/a,f at)
PRI IN INK or TYPE your responses.
PROJECT TITLE 0 Y-01/1 p1 5 i SC h10 o I PROJECTED CONSTRUCTION VALUATION
0,a se, 22 -sh-I-e,r`i or- GinA f
- — mein o•ioc)r'+`vn s a 1 ?) /021 DDD
ADDRESS
'79 S" o Id Geys-�-m,1 &y )20( 1,1 ANTICIPATED DATE eg ' c()
CITY OR TOWNSHIP WHERE LOCATED*"PLEASE VERIFY*** COUNTY ////STATE PROJECT NO
hilho�-? 1-006 LAIC A•Galb ;r CGS 0T— ro h p
OWNER(OR STATE AGENCY IF APPLICABLE)
# CONTACT PERSON
DY-eV)D yyL (0I!G Sc,,ools - r—SY2—I Vo lin
OS-Huh
ADDRESS PHONE
6'SS" 0I G,v-ys- t) gay )Q.J. N. ''/c.a. yqci -83)1-
CITY STATE ZIP CODE FAX
—oro Lc MN 5"535-6. 9S€2... Lic1 - P3R41
DESIGN FIRM PROJECT CONTACT
WO)6 1A --c-
ADDRESS PHONE
0 S e $ b )4A-e- C4k—aV-\— 6s-) 22 - -7-7 73
CITY STATE ZIP CODE FAX
5-i-- eA tAl m iJ 5S-70.2... CSS') 2 2 3- S7G y'CI
E-MAIL
Check if you would also like to receive your plan review by e-mail [ h VVIArz✓UGG i ► wp)d
a)'e• cowl
PROJECT TYPE
❑ Public(state-owned)building paid for by the state or other state agency for:
❑ National Guard ❑ Historical Society ❑ MN Zoo ❑ D.O.T. ❑ D.N.R. ❑ Iron Range R
❑ MNSCU (State College or University) ❑ State Hospital ❑ State Home ❑ Capitol Complex
•t Public school district building of$100,000 or more in construction cost ,
❑ State Licensed Facility licensed as a:
❑ Hospital ❑ Nursing Home ❑ Correctional Facility
❑ Supervised Living Facility ❑ Free-standing Outpatient Surgical Center
CLASS OF WORK
❑ New Building Construction ❑ Addition .J,Remodeling ❑ Other,specify _
IBC OCCUPANCY CLASSIFICATION(S) IBC TYPE OF CONSTRUCTION SPRINKLERED
I /.�3� I A 1+ �� Yes EJ No ❑ Partial
PROJECT DESCRIPTION 1 pkNS_e_ j., yylec,k4,p7 l 61,,,,te,leal-,..�„�1 uP9r1to.Ct W;,}.�
G15So& 4-J C-ei'l rEP1Acew,en+-s p1Q rreG1 w1a:n+enahce 71-CHu , Nrr,-0,<. 176196P45, .
NOTE: The following materials must be submitted(as applicable)with this Application for Plan Review:
1. Complete set of Plans and Specifications 4. Code Record 7. Soils Investigation Report
2. Addenda and/or Change Orders 5. Sample Structural Calculations 8. Energy Code Envelope
3. Plan Review Fee 6. Special Inspection Program Compliance Forms
Licensed professional: I attest that these plans and/or specifications were prepared by me or under my direct Minnesota Registration No.
supervision and that reasonable care has been given to compliance with ap 4cable laws, ordinances and building '���
codes and that this application is not a building permit nor does it auth rize the start of construction
APPLICANT NAME(PRINT) APPLICANT SIG 4TURE DATE
Nil-' - Marc•ttce. La lb Da
Is this project on the State"MAPS"accounting system? ❑Yes ❑ N to Agency that will be paying fee?
Calculated Plan Review Fee(By Applicant) FOR OFFICE USE ONLY
A plan review fee must be submitted.Please see Plan Review Fee roj t No. Date Amount of Check
the Plan Fee Schedule Worksheet for correct 9lQ
calculation of the required plan review fee 1 °I D- ) . �� g'Sedi (V a I C033.2
This material can be made available in different forms, such as large print, Br Ille or on a tape. To request, ca I 800-342-5354( IAL-DLI)Voice or
TDD(651)297-4198.
BCS 02(2/07)