965 Diffley Rd - Admin MN Innitial Application for Plan Reviewi
Depazanent of Administration
Project: Northview Elementarv-Renovations Project k: 20030161
Description: Removal & Replacement of casework & carpet cl
Location: City of Eagan
1. Duties of Municipality. Please check [he duties you are willing to contract (a, b or c). a or b must be iniGaled
by State Building Official.
?/'? a. Attend to all aspects of State Building Code administration, induding:
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1. Pr e l i m ina ry plan review wi t h Bui ldin g Codes and Standards Division Plan Review Staff when
required as checked by the Division.
2. Plan Review of building and grounds with written municipal plan review comments and
designers responses.
3. Interpretation, application, and enforcement of all code provisions.
4. Issuance of all permits and maintenance of all records.
5. Documentation on file of all equivalences and modifications to code as
required by UBC 104.2.7 and 104.2.8.
6. Adherence to all applicable written Division Plan Review Policies. See
www.state.mn.us/ebranch/admin/buildingcodes or contact the Division for list and copy of policies.
7. Issuance of certificate of occupancy with a copy informing the State Building Ofticial when
services are completed.
b. Attend only to all required inspections including:
1. Issuance of alt permits and maintenance of all records.
2. Perform all required inspections.
3. Issuance of certificate of occupancy with a copy informing the State Building Official when
serrices are completed.
c. Municipality wilt not be administering the building code for this project.
2. All costs of building code administraUon shall be as prescribed by Minnesota StaluYe 16B.6: Subd. la.
IN WiTNESS WHEREOF, the parties have caused this agreement to be duly executed intending to be bound.
thereby.
APPROVED:
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BUII,DING OF DATE
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ATE
AP OVED: PaFormAG Page:
MLJPTICIPAL MANA ER/AD STRATOR DATE
Building Codes and Standards Division, 408 Mevo Squaze Building, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 651.296.4639, Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929
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Department of Administradon
LETTER OF AGREEMENT
DELEGAT[OY OF STATE BUILDING CODE ADMINISTRATION
FOR PUBLIC BUILDINGS AND STATE LICENSED FACILITIES
NIINNESOTA STATE STATUTE 16B.61 Subd. la
MUNICIPALITY, circle onq"i[y county, [ownship)
Schoeppner, Dale R.
City of Eagan
3830 Pilot Knob Road
EaQan MN 55122
PRO.TECT: Northview Elementary-Renovations
LOCATION: City of Eagan
COUVTY: Dakota
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DESCRIP'rION: Removal & Replacement of casework & carpet class
nDDxESS: 965 Diffley Road ?
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* ASSIGNED PROJECT NUMBER: 20030161 Date Received: 4/4/2003
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This letter shall serve as a contractual agreement pursuant to Minnesota Statute
16B.61 Subd.la, between CiryofEagan the
Commissioner of Administratioo for transfer of State Building Code
administration from the Minnesota Department of Administration to the
municipality for the "Public Building" or "State Licensed Facility" project
described in this agreement.
THIS AGREENiENT MUST BE RETURNED WITHIN 15 WORHING DAYS.
Date: 4/4/2003
6uilJing Codes and SGmdards Divisiun, 408 Metm Square Building, 121 "Ith Place Eas[, SL Paul. MN 55101-2181
Voicc: fi51 ?96.-1639, F:is: 65I 297.1973; TTt': 1.800.627.3529 and ask for 296.9929
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Depaztrnent of Administration
Project: Northview Elementarv-Renovations Project#: 20030161
Description: Removal & Replacement of casework & carpet cl
Lacation: City of Eagan
Duties ot Municipality. Ptease check the duties you are willing to contrac[ (a, b or c). a or b mus[ be initialed
by State Building Official.
i
? a. Attend to alI aspects of State Buildiog Code administration, including:
1. Preliminary plan review with Building Codes and Standards Division Plan Review Staff when
required as checked by [he Division.
2. Plan Review of building and graunds with written municipal plan review comments and
designers responses.
3. Interpretation, application, and enforcement of aIt code provisions.
4. Issuance of all permits and maintenance of all records.
5. Documentation on 51e of all equivalences and modifications to code as
required by UBC 104.2.7 and 104.2.8.
6. Adherence to all applicable wri[ten Division Plan Review Yolicies. See
www.state.mn.uslebranch/admin/buildingcodes or contact the Division for list and copy of policies.
7. Issuance of certificate of occupancy with a copy in(orming the State Building Official when
services are completed.
b. Attend only [o all required inspections including:
1. Issuance of all permits and maintenance oC all rewrds.
2. PerForm all required inspections.
3. Issuance of certificate of occupancy with a copy intorming the Sta[e Building Official when
services are completed.
c. Municipality wili not be administering the building code for this project.
2. All costs of building code administra[iun shall be as prescribed by Minnesota Statute 16B.61 Subd. la.
IN WITNESS WHEREOF, the parties have caused this agreement to be duly executed intending to be bound
thereby.
APPROVED:
APPROVED:
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BUILDING OFF AL DATE STATE BUILDING OFFICIAL DATE
AP OVED: PaFormAG Page:
MUNICIPAL NIANA ER/AD I ISTRATOR ?
BuiWing Codcs and Swndards Division. 408 Metro Square Building, 121 7th Placc East, St. Paul, MN 55I0I-2181
Vuicc: 651296.4639, Fax: 651 L97.I973; TTY: I.900.627351_9 and ask (or 296.9929
eft. 24p Meisinger Const
?iG CODES STDS 6512971973
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O INITIAL APPL(.CATIOIY FOR PLAN 1tEVIEW
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Please fill.out zhis appHcscion m,.d n.ium it it, the Ruilding Codes and Standards Divisi.o.n approximately four (4)
weeks prior to yE)w expeaed plan rcvieu, subrniltal dat.e. fhis will halp ueezpedite your project while w¢
detezmine w6en ynu will make applicaLiun for plon review. Faiinre to 5ubmit p2us 1.'orm may resuJt in up to a
tlitee (3) week delav whilc we make this drtermination.
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puqiic sdiool disrrin buildim, 0t"6100AQU or more m constnmtion cost.
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lipoii meeiving rhis comnleted initial applic:ii.ion, wa will confirm proper juiisdiccion for tlzc projcct, assign it a
projec? numbcr for traeking, und dcttnnine if'thc manicipulity wi11 da p1QrCvICw, inSpCCti.OAS, both, or ncither.
We will outify y,nu oF i.he pmject numbcr. wherc eu submit yoiu documvn'ts' for review, und how inspeetions will
be h.ondted. IFdelegated to the nnunicipaliiy, qou wiU only need to Yollow'their pioccdures and fee sclicduk. If
your submittal will bc io tiiis division, our standard spp!;cation proccss wi(1 n¢cd to be followed.
l hereby nckrsnwledge ilmr rfiis opplrcuiilm Is nm a ui[ding Pernril, nnr d s it aud4oriie dee stnrt njennsrrucNon.
. APplieant VunetPnrn) App cad,c5{.nniurc .. DQtc
Dulldirtg Codcs and St?nd?rd; llrvosion, 4UR Mcvn Squma 6uilding, 121 7mPlate Euc, Se. Peul, eAN 55101-2IE1
, Voice: GS L296.409. Fac 451 297.1993; T7'V: 1.N00.627.3529 end uk for 246.9929
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04/04 '03`13:25 N0.025 03/03
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