HomeMy WebLinkAbout2014-11-03 MN DLI Project Jurisdiction Notification for Permit & Inspection of Domestic Water Piping Replacement 443 Lafayette Road N. t MINNESOTA DEPARTMENT OF (651)284-5005
St. Paul, Minnesota 55155 L.BC. R & INDUSTRY' 1-800-342-5354
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ww.dli.mn.gov
PERMIT REQUIREMENTS
ARCHITECT/ENGINEER: Date: 11/3/2014
Matt Armstead
Ericksen Ellison &Associates Inc
305 2nd Ave NW Ste 105
New Brighton, MN 55112
Project: MCF - Oak Park Hts - Domestic Water Piping Replacement
Location: OAK PARK HEIGHTS, MN 55082
County: Washington
Address: 5329 OSGOOD AVE N
State Plan Review Number: BLD1411-00007 Date Received: 11/3/2014
We have reviewed your Initial Application for Plan Review and determined that the project is
located in a jurisdiction that that does not have a Municipal Delegation Agreement with the
Minnesota Construction Codes and Licensing Division. Therefore:
BUILDING PLAN REVIEW AND BUILDING INSPECTIONS WILL BE DONE BY THIS DIVISION
Please refer to our website: http://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
this division will be doing the plan review and issuing the building permit, please use the 100%
Plan Review Fee on the Plan Review Fee Calculator. Once reviewed and approved, a permit
may be issued. Refer to our website for the Building Permit, Mechanical Permit and Sprinkler
Permit applications as applicable. A state regional building official will be assigned to this project
to verify compliance with the requirements of the,Minnesota State Building Code. Please note
that land-use zoning permits may be required by the local jurisdiction before beginning
construction.
Please be advised that plumbing plans, specifications, and appropriate fees must be submitted to
the DLI Plumbing Plan Review and Inspection Unit or the appropriate local jurisdiction identified
at www.dli.mn.gov/CCLD/PDF/pe planreagree.pdf For additional information concerning DLI
plumbing plan reviews and inspections, please visit www.dli.mn.gov/CCLD/Plumbinq.asp
Sincerely,
CONSTRUCTI N CODES & LICENSING DIVISION
Jerry Norman
Supervisor Building Plan Review
GN:mw
C: Regional Building Official
Plumbing Unit
Municipal Building Official (if applicable)
This information can be provided to you in alternative formats(Braille,large print or audio).
An Equal Opportunity Employer
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Minnesota Department of Labor and Industry 4.
Construction Codes and Licensing Division p
Building Plan Review ` MINN SOTA��D`EPARTME T OF
443 Lafayette Road North N '1,ABO G7& INDUSTR
St. Paul, MN 55155 N w" /
Phone: (651)284-5857
www.dli.mn.gov/CCLD/PlanConstruction.asp f: l�A` o,�`Initial Application
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eBROJEC LT dRMATION
PROJECT TITLE — _i PROJECTED CONSTRUCTION VALUATION
Domestic Water Piping Replacement at MCF OPH $768,850
PROJECT LOCATION(number and street name) COUNTY
5329 Osgood Ave. N Washington
PROJECT CITY or PROJECT TOWNSHIP (Enter only the city or township, not both) ❑Check if outside city limits
Oak Park Heights
OWNER(OR STATE AGENCY IF APPLICABLE) (OR ISD#IF APPLICABLE) CONTACT PERSON
REAL ESTATE & CONST SERVICES Roger Rooney
ADDRESS PHONE
50 SHERBURNE AVENUE (651)201-2388
CITY STATE ZIP CODE E-MAIL
St Paul MN 55155 roger.rooney @state.mn.us
DESIGN FIRM PROJECT CONTACT
Ericksen Ellison &Associates Matt Armstead
ADDRESS PHONE
305 2ND ST NW, SUITE 105 (651) 632-2313
CITY STATE ZIP CODE E-MAIL
New Brighton MN 55112 marmstead @eeaengineers.com
PROJECT TYPE
(As defined by MN Statute 326B.103 Subd.11 and Subd.13)
0 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 Facili -A building and its grounds that are licensed by the state as a:
El hospital, nursing home, El supervised living facility, Q free-standing outpatient surgical center,
12 correctional facility, El boarding care, 0 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 0 Remodeling Sprinklers rgi Yes Q No fl Partial
❑ Permit Only(submit documentation from regional building official) ANTICIPATED START DATE 02/01/2015
IBC OCCUPANCY CLASSIFICATION(S) IBC TYPE OF CONSTRUCTION
13 Unknown
PROJECT DESCRIPTION
Replacement of existing hot, cold, and recirculation domestic water piping.
APPLICANT INFORMATION
Upon receiving this completed initial application,we will confirm proper jurisdiction for the 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 our standard application process will need to be followed.
I completed the information on this application and understand that it dot- not authorize the start of construction.
APPLICANT NAME(PRINT) APP SI �-i17'T DATE PHONE
MATT ARMSTEAD, PE /J/jr/� I- t 10/31/2014 (651)632-2313
APPLICANT MAILING ADDRESS CITY STATE ZIP E-MAIL
305 2ND ST NW, SUITE 105 New Brighton MN 55112 marmstead @eeaengineeru
FOR OFFICE USE ONLY State ❑ Local Insp. ELocal Both BLD-
This material can be made available in different forms. To request,call 1-800-342-5354(DIAL-DLI).
BCS 01R(1/14)
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005
St. Paul, Minnesota 55155 LABOR & INDUSTRY 1-800-342-5354
LA
www.dli.mn.gov V R
PROJECT JURISDICTION NOTIFICATION
COPY TO BUILDING OFFICIAL:
I{,
City of Oak Park Heights Bldg Official
Julie Hultman
PO Box 2007
Oak Park Heights, MN 55082
Project Title: MCF - Oak Park Hts - Domestic Water Piping Replacement
Location: OAK PARK HEIGHTS, MN 55082
Address: 5329 OSGOOD AVE N
Enc
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 LABOR & INDUSTRY 1-800-342-5354
www.dli.mn.gov •
REGIONAL BUILDING OFFICIAL: Date: 11/3/2014
Paul Heimkes
443 Lafayette Rd N
ST PAUL, MN 55155
Project Title: MCF - Oak Park Hts - Domestic Water Piping Replacement
Location: OAK PARK HEIGHTS, MN 55082
Address: 5329 OSGOOD AVE N
Enc
This information can be provided to you in alternative formats(Braille,large print or audio).
An Equal Opportunity Employer