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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 w 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 - 348a71 \ 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 sr 4 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