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i <br /> 31 —72 <br /> Minnesota Department of Labor and Indust � <br /> P r,�. <br /> Construction Codes and Licensing Division Re <br /> Building Plan Review 11 3 MINNESOTA DEPARTMENT OF <br /> 443 Lafayette Road North 2014 LA B Q R & INDUSTRY <br /> St. Paul,MN 55155 <br /> Phone: (651)284-5857 N ,�G, `t"` <br /> vr�rr�.dli.mn.gov/CCLD/PlanConstruction.asotA �'° _ s w� Initial Application <br /> PROJE ORMATION <br /> PROJECT TITLE PROJECTED CONSTRUCTION VALUATION <br /> Orono Elementary Center,2014 Fire Alarm Upgrade $160,000 <br /> PROJECT LOCATION(number and street name) ( ` COUNTY <br /> 685/7 Old Crystal Ba Road North {--,�, ��-,, ,`,, ,� r`�;� I Hennepin <br /> PROJECT CITY or PROJECT TOWNSHIP (Ente(only the city or�,vnship,not both} ❑Check if outside city limits <br /> Orono <br /> OWNER(OR STATE AGENCY IF APPLICABLE) (OR ISD#IF APPLICABLE) \ CONTACT PERSON <br /> Orono Public Schools Justin McCoy <br /> ADDRESS PHONE <br /> 685 Old Crystal Bay Road North 952 449-8345 <br /> CITY STATE ZIP CODE E-MAIL <br /> MN _ 55356 jmccoy@orono,kl2.mn.us <br /> DESIGN FIRM PROJECT CONTACT <br /> Wold Architects & Engineers Brad Johannsen <br /> ADDRESS PHONE <br /> 305 St. Peter Street 651 227-7773 <br /> CITY STATE ZIP CODE E-MAIL <br /> St. Paul IMN 155102 bjohannsen@woldae.com <br /> PROJECT TYPE <br /> (As defined by MN Statute 3266.103 Subd.11 and Subd.13) <br /> ❑ 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 /> ✓❑ 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 Facility A building and its grounds that are licensed by the state as a: <br /> ❑hospital, nursing home, ❑supervised living facility, ❑free-standing outpatient surgical center, <br /> ❑correctional facility, ❑ 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 ❑✓ Remodeling Sprinklers IJ Yes ❑ No ❑ Partial <br /> ❑ Permit Only(submit documentation from regional building official) ANTICIPATED START DATE 06/15/2014 <br /> IBC OCCUPANCY CLASSIFICATION(S) IBC TYPE OF CONSTRUCTION <br /> E A-3 II-B <br /> PROJECT DESCRIPTION <br /> Fire Alarm Replacement <br /> APPLICANT INFORMATION <br /> Upon receiving this completed initial application,we will confirm proper jurisdiction forthe 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 ourstandard application process will need to be followed. <br /> I completed the information on this application and understand tha d does not authorize the start of construction. <br /> APPLICANT NAME(PRINT) APPLICANT S GN TORE DATE PHONE <br /> Nicholas Marcucci 04/30/2014 �(651)227-7773 <br /> APPLICANT MAILING ADDRESS CITY STATE ZIP E-MAIL <br /> 305 St. Peter Street St. Paul IMN 55102 inmarcucci@woldae.com <br /> FOR OFFICE USE ONLY <br /> ❑Stateoca Ins ❑Local Both BLD- 9 Cj � /_'_ ,� <br /> I -i —C;'C�';C <br /> This material can be made available in different forms. To request,call 1-800-342-5354(DIAL-DLI). <br /> BCS 01 R(1/14) <br />