P - 40002From: unknown Pa�e: 2/5 Date: 9l13/2011 11:53:04 AM
..�r, �� ��„ �, �� �„� P,....�,.,,��� �_,., ,,,.. ,....., .,.� „�, �„�< ., �
Ba�tdiu� �n�pecttons Ct�Ii+'IMERCIA►.L RE-�OOF Pecmit No.: Z-�I � I�(� 5
����s��-3�oa. APP�,ICATI�N ���,,,� �y
���-502-4�77 FAX CI'TY OF FRID�..��' �j � � �
_ . �F�?.�TtvF r.n� _an„ r]ate R :,�U �� �....� .�? L � � �
DAT� _ ( [ �"�( l � �o� �. �SS v C�,.�-�-� ra�.H-�� .
1NSTALLATION ADDRESS: %.�IC) CO � � J�a � �s
PROPERTY QWNER �+iAME:
t1U1�ItESS: CITY STATE ZIP
p�Q�� C�LL PHQIVE �
CONTRACTOR
L1YM11L'/�]1]� �V Y�..� � 1 L�"�.�. Q M"��I T��� L�� Y�.J�STATL•��9�! Z� �,.J �/ V 1
PHONE'� �O �,_,-�j'� �� i fd +D� G�LL FAX �f�' � S�% � Q Z� �
STAT� LIGEI�SE# FXP. DATE:
A1tCi�TECTfENGINE�R N�4:ME.
CITY STATE 2IP PHON�: FAX
S7A7E LIC�NSE # __ _ EXP bATE
QUESTIOPVNAIR�
Please ar►sv�+er the questians below.
1. Are alt the exis�ting roofing ma.tcrials bein� renzoved tp the stzuctural deck?
!'�Yes ❑ No
2. a) How nrtany sq, ft. is the existutg rovf?�) �,I�w inan.y sq. ft. are bext�g reptaced? �
3. What type of rot�firig system curt'ently exisCs? Built-up �$Memb�rane O�7ther
4. Wixat type of rao�ing system is propose�?`� Built-up �7 Membrat�e L7 ath�r
5. Will the new raofing r�aterials reduce or increase th� crarrent dead load?' �
'� It��rease 0 Rednce s�Na c1�a.�ge '
6, �f toading is to be incre,ased, has a structtars! ��gineer been �ired W revierv all aliowab!le �oads?
O Yes �d"No xf yes, r�tta�h an Engirteer's repo�t.
7, Are an� new ci�rainage devices beang �ddec� �r altcred as part of the re-roof`7 Cf Yes � No
8, per Int�rnational Bui2ciing Code Table 15.45_1 what class designation is th� �tew maf system?
�idi � B d �OII-C7i3.SS1'F1P�
9. at averall R-value witl the new roof produce7 ��Z .�-
10. �er Internat�onai �uilding Code Sectians 2603.4, 2643.4. X and 2603.4.1.5, will a therrnal barricr be
requ�red as p�t of the re-roofit�g prvject? 0 Yes �l.No
11. Will any eleetrical, plumbing, gas or mechani�al it�ms on the existing roof z�eed to disconttected and
: �connec�ed as part of the re-roof? O Yes�� No
12. Are any eleccricai plurnbing, gas dr mec�ianical items being replaced in conjunction with the
re-rvoi'? O Yes�3o
�VIE�t
From: unknown Pa�e: 3/5 � � Date: 9/13/2011 11:53:04 AM
,.�r. i1� �vi r � � » ���� �vlr�cv�s.+v ,.��.� ,� �.., �..,� �v�� �� �
�GQ V�J.RLe�
Two copies af each of the f�ilowing itert�s must be subrnitted with the appliEation.
I. FuII writtert seope p�'�e projeet Submitted 7. Any Documentation �rom 1V��nnesota
to owner, r�gistered struci�u�al engrineer.
2. Shop dirawi�gsfse�tion view oinew �nstallation 8. Copy of rnanufacture's installation
3. A lisring (name) of e�ch speei�c manufacturer's ins�ruct�ons.
products b�ing installed. 9. Provide design detaii to me�t the
4. The #]acne spread d�cunnentatian for any foa�tt� requirements af Sec. 150�.4 af the 2a0b
products being ��statied. I.B.C. ANSUSPIttE ES-i.
5. T7�e thickness af a.11 pro�ucts bein�$ instailed. X0. Provifle m�n�fa�ture an� deta;l of�d�e
d. The fire tested assernbly nurnbex designatio�. sucurement per Sec. 1504.5, 2006 I.B.C.
(UL, Factory Mutuai, ICC}. A,NSI/SFRI �S-1.
P.�timated Completivn dete:
Dsscription af work:
PitU.�CT DETAIiS
__ __ �.�
„_ Esdm�ted valuati�• � LJ4°`"t U • �1(�
IS
FOR A PERMIT-NOT YAL1D UNTX�. PR�ESSEp
I�tertby a�pIy fvr a cdn�cia� �.rflof pcn�it and I aclrnaw�dge that the infot'�tion above is eompl�te and accurate; t},at
tE�e work wi#1 be in con�"armance with dte ocdinances a�d c�des of the City of �ridley and with the Minnesota Canstru�tion
�odes; th�t I tu►derst�nd this is n4t a permit but ant}' m�d gPPlxea4i�n for e permit and wvrk is nat ta start wittic�ut a pe�mit;
that the wvrk wilt bo in ac�cardat�ce witE� the appcoved prlsn in the �ase af $Il wark which requires review and apprrnal of
plans. d . _ n /I .
sic�nTLrRE oF
m
t0
Permic Pee
Fire Surcharge
Surcherge
Tot�l Dae
�., l nn� �t 1
,.. .
Rr,L FEES ARE BASBD ON VALUA'�ION
plus
,vuu o� trac�ion, m ans► i�nc1,
or frac#ion ta �nd ipcludiag
,004 or f�activn to snd 'mciu
�a1, I�OUO or iraeuim ro and
��--- 5ee abc>ve for Fee Schedule -
$—r----°��~�--- .�1 times the total job valus�Q�n
$ .Q005 x Permit Yakuati� Minimnm �50
s--_ -- � n�[a�e c�eck� payabk to: C�ty oC�ria�ey A�a�h
,.��, �� �„, , � � ,., ,,,,
From: unknown `Pa�e: 4/5 Date: 9/13l2011 11:53:05 AM � ��`
� ,,.,, , <,,.�„ . ,. , , .,.., .,.., ,. , , ,
AugU�t 31, 2011
Koly Jorgensen
6431 University Avenue NE
Fridley, MN 5543�
763-238-8073
R�: Water St�t�Qn Re-roof
��� �t�
C��
��
1 ,� rr �
� � r.� � ��
�
�'f�
Th� undersi�ned propo�es to furnish all I�bor, materials, �r�d equipment �s �toted b�law
in a wvrkmanl��Ce mann�r:
spECi�icATt�JNS:
4ene�at C_,_, o��c�rrs��
1. Se# up a# slte. Prote� buitding fl'om d�bri9 a►1d secur� wc�rk �re�.
2, S��re req�€red kx.��lding p�rmiis.
demaliti�n
3. Remove i�re �xisfing roaf rnembrane anti insulation �own tt► the structural deck.
�4. Haul �way a!I rt�ofing debris and Cle�n site as necessary.
Insulat�on _ _�
5. [�staH � b�se lay�r qf (thickness � type� in�ulaticrn tv the d�ck using hot' �sphalt in a soiid,
urrifarrn rrt�pping of not �ss than �� pound� p�r sqware.
�. instal� � tapered (type) Ynsulation systern in an e�Ffort #o minimize ponding water on the ro0#.
7. tnst�li tspered sump� �t al! �c�of drains to aid dr�ir��ge.
t��o��g_ �1
8. Irrst�ll thee� pt�es ai Firesfc�ne felt in hnt asphalt. Int�r�iy ma}�pings ta average 25 pourtds
per �quare. FeJt to meet ASTM' D2178 Type !V; fiM apprav�d ant� UL classi�ed.
9. Apply a 6p pound' flQOd cc,�t c�f hot asQhalt and etnkred roofing gr�vef at a fat� Qf 400 pounds
per square.
10. Insta�l Firestcrte b�se tiashit�s �t all perimet�r, cu�bs, skylights, �nd hatch detailS !t1
�ccordanc� w�tM manufactur��'� t�comrn�nd�t�vns.
455t11Mlain Str�et NE - Minneapt�lis, MN 55421
(������z-o�6o - ��x ����1��Z.a2�a
�+ww.centratroo�ng.com
From: unknown Pa�e: 5!5 Date: 9/13l2011 11:53:05 AM
..�r� �., �� � , � � �. � ,,,, � ,.�, � �,,..�„ �_,., „�� ,,..,.� .�.� ,.�. �,.�� � � ,
Sheet Metal, �
'11. RemovQ �xisting coping and saue for reuse.
12. Ir�stall a 2a mil vinyl wafer barri�r undemeath ail p�rimeter sheet metal.
V1larranty _ �
13. Fumish a ttt�rw.G#a�urer's #en year gu�r��#ee.
14. Fu�isl� � standard Ceratrat �+aafing Company twv ye�r guarantee�
15. We carry wvrker's cvmp�r�sati�n, lxoperty damage and publa� (iability ir�suran�e.
+Cantracfi P�ic+e
All o# the abQVe wor�c wlit be pravided for the sum of Eiqht Th�usarrd �ix Hurrcired
Nine�► Do�l��. 8.69�.00). _
.
llnit I�r'rces
455Q M�in Street NE - Minneapalis, MN a54�i
(763�572-fl660 - F�x �753)572-0230
www.centralroofi�g.som