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' 7 }v <br /> Minnesota Department of Labor and Industry <br /> Construction Codes and Licensing Division . .1.Building Plan Review ) 'MINNESOTA DEPARTMENT or <br /> 443 Lafayette Road North r Y Nt,BO R 8C INDUSTRY , <br /> F , <br /> St. Paul,MN 55155 cC <br /> � B 2015 , ►' G <br /> Phone: (651)284-5857 CPF,t...:-'.::a -0"tias 411i <br /> www.dli.mn.gov/CCLD/PlanConstruction.asp .r t it /,0 nitial Application 6-2p, <br /> e RO`ECTIN CATION <br /> PROJECT TITLE �.__1--%% PROJECTED CONSTRUCTION VALUATION`'-) <br /> Orono High School 2015 Fire alarm Upgrade $115,000 <br /> PROJECT LOCATION(number and street name) COUNTY <br /> 795 Old Crystal Bay Road North Hennepin <br /> PROJECT CITY or PROJECT TOWNSHIP (Enter only the city or township,not both) ❑Check if outside city limits <br /> Orono <br /> OWNER(OR STATE AGENCY IF APPLICABLE) (OR ISD#IF APPLICABLE) CONTACT PERSON <br /> Independent School District#278 Justin McCoy <br /> ADDRESS PHONE <br /> 685 Old Crystal Bay Road North (612)217-3677 <br /> CITY ' STATE ZIP CODE E-MAIL <br /> Orono i MN ,55356 jmccoy@orono.k12.mn.us <br /> DESIGN FIRM PROJECT CONTACT <br /> Wold Architects & Engineers Nick Marcucci <br /> ADDRESS PHONE <br /> 305 St. Peter Street (651) 227-7773 <br /> CITY STATE ZIP CODE E-MAIL <br /> Saint Paul MN 55102 nmarcucci@woldae.com <br /> PROJECT TYPE <br /> (As defined by MN Statute 326B.103 Subd.11 and Subd.13) <br /> O State Owned-A building and its grounds the cost of which are paid for by the state or state agency regardless of its cost. <br /> Q✓ Public School District-A school district building project or charter school building project,the cost of which is$100,000 or more. <br /> State Licensed Facilit A building and its grounds that are licensed by the state as a: <br /> 0 hospital, LI nursing home, 0 supervised living facility, 0 free-standing outpatient surgical center, <br /> 0 correctional facility, ID boarding care, Q residential hospice. <br /> If your project is not licensed specifically as listed above,the project is not under the jurisdiction of the Building Plan Review Unit. <br /> CLASS OF WORK <br /> ❑ New Building Construction ❑Addition Q Remodeling Sprinklers 0 Yes 0 No Q Partial <br /> LI Permit Only(submit documentation from regional building official) ANTICIPATED START DATE 06/08/2015 <br /> IBC OCCUPANCY CLASSIFICATION(S) IBC TYPE OF CONSTRUCTION <br /> E. A-2.-6.13 IIB <br /> PROJECT DESCRIPTION <br /> Fire Alarm replacement <br /> APPLICANT INFORMATION <br /> Upon receiving this completed initial application,we will confirm proper jurisdiction for the project and assign a project number.We will notify <br /> you in writing of the project number,where to submit your documents for review,and how inspections will be handled. If delegated to the <br /> municipality, you will need to follow their procedures and fee schedule.Otherwise our standard application process will need to be followed. <br /> I completed the information on this application and understand that i does not authorize the start of construction. <br /> APPLICANT NAME(PRINT) APPLICANT Sl(.NA IRE DATE PHONE <br /> Nicholas Marcucci I 02/16/2015 (651)227-7773 <br /> APPLICANT 305 St. Peter Street AILING ADDRESS ISa nt P..�' MNSTATE 55102 I nmarcucci@woldae.com <br /> FOR OFFICE USE ONLY r�'- 1� <br /> ❑State IG Lo.:l Insp ❑Local Both BLD- j 1,;(--2 ,-_-,1 _ oc 7 <br /> .� <br /> This material can be made available In different fins. ,. request,call 1-800-342-5354(DIAL-DLI). / <br /> BCS 01R(1/14) <br />