HomeMy WebLinkAbout2003-P06005 - re-roof � � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po600s
Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations
(952) 249-4600 Date Issued: ii3o�2o03
SITE ADDRESS: 2500 Shadywood Rd
Excelsior,MN55331
PID: 20-117-23-11-0034
DESCRIPTION: UBC Occupancy R3
Proposed Use: Commercial
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PernutFee: $ 783.75 Valuation: $ 69,950.00
State Surcharge Fee: $ 35.50 �
TOTAL FEE: $ 819.25
APPLICANT: Sela Roofing&Remodeling,Inc. OWNER: Freshwater Foundation
4100 Excesior Blvd. 2500 Shaydwood Rd
St Louis Park,MN 55146 Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA B I[Z LDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �
Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
Total Fee: �a , �c Date Received: �-,jU' �3
Entered By: � Permic�: �'G'(�(X.>�
CITY OF ORONO - BU�,DING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
� (please print al1 information)
THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR ;
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JOB SITE ADDRESS: � J f�'` � �� �'" -�`� ;"\C� � ZIP: `- � (
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NAME OF O`'�NER ��-��� -��. ���f�•- `,_-� ,'���^t� PHONE: (home) `7�--�_��'�/4� ��
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" (work)
l�IAILPi 1G ADDRESS: . CITY: ZIP:
CONTRACTOR• `E�'ROOFING&REMODELING,ING P�O��•�, ; ` , 1 :-_ , ,L`), j
�'^Ipoanc��,���R RT Vn '
COi�t'I'ACT PERSON: .�m �,ntTT�pAR, •MN 5541t� 1IOBILE/P:�GER:
MAII�ING ADDRESS: �D#000105�� CTTY: =�' �� � ;,`��g': `r�
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STATE LICENSE: #_T/�� ���:
ARCHITECT/ENGI�i TEER: PHO\rE:
NIA.IL�,'G ADDRESS: CITY: Z�:
�T�y�; REGISTR.ATIO�T# �
TYPE OF tiVORK: New Addition Accessory Structure
Nlove Remodel/Alteration Land Alteration
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PROPOSED tiVORK(describe in detai�: S �e� C"~ t f ;r
STORIES: SQ. FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. � - = � -- .- -,
ESTII�i IATED CO`'STRUCTION VALUATIO\ (excluding land): S � `"�'`�:' `��� �.�����
,
I hereby apply for a buildin�pernut and I acknowled�e that the 'li:`ormation above is complete and
accurate; that the work will be in conformance with the ordina�ces and codes of the City and with
the State Buildin� Code; that I understand this is not a permit 2nd work is not to start without a
permit; and that the work will be in accordance with the approved plan.
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APPLICANT'S SIGNAT'URE: ` :.�---�-? DAT°E: 1 � (� - ;�
NOTE! Parade o Homes events require separate permit approval by Police Department and
City Couneil 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.0-1 RIGHTS OF SUBJECTS OF DATA
Subd. i. Type of data. Zhe ri¢h�s of individuai on whom the dara is sw:�or co be scored shall be as set forth in this secaon.
Subd.2. Information reqirired to be givm individual. An icdi�zdual asY�to suppiy privam or confidendal dara canceming himself shall
be informed af: (a)che parpose and incended use of che requesred dara w:�ia the eollecriag 3cate agency,polidcal subdivision,oc stacewide rysrem;
(b)whe�'�er he may refuse or is legally requiced to supply ehe requesud daa:(c)any lmowa eonsequence arisiag from his supplying or refusing to supply
private o�conndenda!data;ar.d(d)the idendry af a�her persoas orendd:s z�chorized by state or federal law to r.ceive the data.,Zhis czquireme�c shaIl
no[apply when an individuaI is asked to suppty invesdgadve daca,pursic to seccoa 13.8?,subdivision 5,to a law enforcement o�cer.
'tha commissioner of r�•enue mav olace the nocice rauired �rder this subdivision in the individual is:come tax or orooem raz refund
in:truccions insrexd of on chose forms.
Subd.3. Access to data br indiridual. Upon requesc to a rer;oasible aechoriry,an individual shall be informed whecher he is�he subject
of scored data on individutts,and whe�her it is classificd as public,privae or confcdeccal. Upon his furcher cequesc,an individual who is the si:bjecc
af scoced private or public daca on individuals shall be shown�he data wi�ouc any e'R''e to him and;if he dasires,shall be informed of�he concene
ar.d meaning of[hac daca. Ahar an individuai has been shown�he priva��aa and it:orsied of ics meaaiag,the data need not be disclosed to tiun for
six mon;hs chereatter unless a dispuce or acrion puauanc to ehis secdon is r.endin3 or addidonal data on the individual has been collected or crear�d.
The responsibla auchoriry shali provide eopies of the private or public data L:on reqaes:by the individusl subject of[he data. The responsible authoriry
may requir�[he requesang penon to pay the actual coscs of making,ce,�;ing,az:d compiling the copia.
'Ihe responsibla au�horiry shall comply immedia[ety,if possib!a,wich any r_ques�made pursuant to this subdivision,or wi[hin five days of
the dar_of che requesc,excluding Satui+days,Sundays and legal holidays,if ie.mediac.compiiance is not possible. If he cannot comply with the r_quest
wichin cha�ame,he shall so inform che individual,and may have an addice�l five days wichin which to comply wich the request,eacluding Satucdays,
Sundays and legal holidays.
Subd.4. Pracedure when data is not accurate or complete. �n indivituxl may eontest tha accuracy or completeness of public orpri�ate
dac�concerning himsetf. To exercise chis righc,an individual shali nodEy ia wridng 'c.o responsible authoriry d=scribiag�he nature of the disagreemeac.
The responsible au�horiry shall wichin 30 days eieher: (a)correct[he dae icand to be inaccurste or incomplete and aaempc to nodfy past recipiencs of
inaccura�e oc incamplece daa,including recipiencs named by che individil:or(b)codfy che individual thac he believes rhe data to be coaece Da[a
in dispu�e shail be disclosed only if the individual's sacemenc of disa;ree�:n�is�.c:::ded wich the disclosed daca.
The dacerminarion of the respansible authoriry may be appaa�:�Quauaac to [he provisions of eha administrarive procedure act rtlaring to
conta.ed eases. .
DATA PRTV�CY AD�ZSORY
In accordance wich M.S. 13.04,Subd.2, "RiQhts of subjects of c�aca", we would like co inform you that your reauesc
for a permit or license from the Ciry of Orono or any of i� depar.�.en[s may require you to furnish certain privace or
confidential information.
You are notified that:
1. 'Ille inforrnacion you furnish will be used to d::ermine�•our qualification for the permit or license requested.
2. You may refuse to supply data, but refusal rszy require that the Ciry deny the permit or license.
3, The information may be shared wich other loc�?, stace or federal a�encies to the excent necessary to process
the permit or license.
4. If your requested perm.it or license requires Council action [o approve, some information may become
. . public. . .
�. You have certain riahts under M.S. 13.0� (z�ailable Lpon request} to review�private data on yourself.
6, Your full name is required to process this agplicacion or perm.ic.
Finc �fiddle Lasc
Address .
Ciry Snce Zip Phone
I understand my n;hts stat ,,lbove.
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� ATIN: �RIS PRQK 95��471-9?73
25Q0 SHADYWOOD ROAD
F�CCII��IOR,INN �5331 ( �
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W�pmpose to tear�ofFaad ro-roof Areas A eald/ar 8�t t1�e abovc sddrzss aad iastall a�AF NDL
RooSag Syst�a.by:
. Takc of�she�t motal fl�ti�aad di�e af
• Teg oFFthe acisaag toc�g dpwa to tbe co�a�rcte deok. �ls�n�an�d�sul away all .
debris from the presdaes.
• Map(1)cne Iayes oi 2,7"?socyanurete roof iAsnlatic�over thc aat�rooP susFaco,
• MflP C 1)�e lsy+e��i"Perlit�e ioof i�t�ation ovu t4�e entire ropf sur&ce.
• Ii�sta'i14 layezs cf Type N fiba�gla'ss 1�r�unias sli felts np i�to rhe base flas�iag�.
Each leyer of felt will be mopped ia sQ ' with bot aaphalt at a sste otaa Iesa thsn 23 lb�.
par aq, ft. This is doaae aeeo�dix�to th�C3AF NDL m�aufacturer's epeoi�catfot�.s.
• Each lsyer of felt wi11 be m,opped ia so�id witiz hot Typa N a�tph�k st a sate o!'tto less
thaa?.3 lbs.per sq. ft. Z his is dea�e�cqoa�diag w thm aAF Nn�.�aa�'s
spacifleatioas. . .
. 'th�additional lsyqr of modifiod bittuaai 160
F1aa�#ail ws1Ls,cusbs.ch�mueys,ete.,q►�
mil fl,a�hing mateciel.fastea and scctud.
• Ynatall aew galvanized s�heet autal pinr�hit�.g stacks o�'rovo-piece ooastrucaon aritb lesd
�•
. Inatall aea�galva�iZed sb���Y�k ba�n fla�iia��pl�ce of exisaag.
• Rarv$c wcis�ing ceate�c dsa�as snd re-fls¢h properly to aew roe��tem. ,
• Install h+vo x�ew ooppa scnppers whese Ilare eaciaLffi$�oW.
• Flood,eoat the aatnre�oof ausf�vvit� fmal layer of hoX aepllalt at a sate of 6�lbs.per
100 aq. ft, and ambed weshed roofiag vel�asAbaTt�hile�1 bot at a rate vf So01ba. ,
per 100 aq. f!.
• T�nstall new coPP��P��on pars�et walls.
� � u,� p�y..� on .i��n� � �►•dp�l d��i,��b��- w..�'.�►� e...- i��;�� t�.��.s
�OM'1NClED ON PAC�2.................... ..........�...............�.......................,.
sda BooBa� .mmaasl Di�istaa �
1�'!S8 8sh SL n�polll.I�T 55�114
613-b23-1962(Ph ) 61Z•331-401y(FaJ
Vtaic w u sst�saMee�.eom
State oilWniaeoo L{oeosa 1Q s0001Q50
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ACCF.I'TANCE C�PY
FRFSH WA1FR SOCIFIY ]��1Vt.IARY 1a,2003
AZZ'N: CR15 nRQK �� 952-471•9�73
2500 SHADYW��D ROAD � ,
pGCFL.510R,MN 55331
GOMINtlEDFROM FAGE 1.:..........,..�.................................................�..
• Re�ove all z�cBaB equiPm�t aad m�ltezi�l�fraam job sita whea completod and clean up
aa+d haul awsy ati debri:from the psezt�,i��.
COST FOR THE ASON�-DFrSCR18ID WORK I5:
AREAS A 1,A Z,A 3 AND�-4{7 �00 5Q F1�WOIII.D 8E �39,400.00
ARFAS H�-1,B-2�ND B-3 (6.90Q
,�L,1.5EC1ZONs CG MB�TEa i ��• 369.950.00
Na'f� TH�SE C4MRwG7 iU�tOtJM'S�VALID FROM 1-10'2AQ3 THROt,1�H
h311200Ci DUE TO T�-�V�SPliA�.T PRICE IIyCREA5F5.
NOTE SEL�R.00FING WA.L ALL 1i.00FING TFJ�R OFF WITH A L�RGE
� CRANE FOA THE 1'tl .t�PO�E OF IGEEI'ING HFJ�VY TRUC�CS OFF OF
'!1-iE I�►W/N ARE�1S. ,
�WRAM'EE: Ali wo�k is to be tloite in osdiaee with QA►F Buildi�Peoduc�s specifiosdona
�►t�er sil w�oak io aaaag�le�a CiAP roeet�aici�a wil]iu+�t rhe roo!'aad s NDL
ara�rtaty wIII be iasued (12)I1a+alve yeesR.
P,IYMEN7': ,�Payment o�2/3''d Qf tbs Q�ttut�oa�mt is dua upor tbe set-�sp of tho roo8r►�
projecs and m�s�h1Y ProSr�P`Y�a►iII bs�avq�ed��np���i�•
' Inte�ca impzid baL�c�t�wm�leciou tcaniei st the ratc of 1 il�°�6 1,5�6)
per sAcss�(169�6 per�.
NOTE: �P�P�st�Y��'a'��'Y SB�.A ifnat accepxd withia Thi�.y(30) �
dsys.rad pr+oe i��ea�s¢�nases's ipproval�Se�veas Cl�daya slEer
e�isoomser's a�e as aupp�ca. IIL the t�vesYt o�s��p�o�md�o;d�ees
caacel o�breacl��hia a�t�c�aa�das Parties i8ree�ae SBI.�+'o r�u1a�6 daas�
. wiU be da.�oult m�sceetaa��ad�mt SELA 9baII be eatitkd to 1iq�dated danas�+e�s
ip e�itm eqvsl ta tw�sat,y pepc�s(Zo°�6)of tl�o soiat Cas►�ot Psi�e or SS00.00,
• ahic'hever is�cts�a. 1�e 'ea ase�es ffisL t9sis ss aot a peo�ally.is aoe aa a�qpus�c
a
� �stiy dispevpo�lias�e�e 'a apa�ed actu�st da�es.�md is an ace�eats
agp�aaciraa�o�SF1,A's e proSt d�ie to cus�oanm���aaceAs�a sad/os br+r�eh
oFf�is a�eie�L .
Aoqeplufee of ffi�Psoposal: Z7�se abovr p4iee�. tica��d ooad�IIos►s.ir�clvd�tho�e set
ti���1te"�+ddisianal Go�tzws Tmma"art�hed ,ars aa�iai�ctozy attd rre i��roby socePted, Se1a i9 �
authaaiz�to do the work as$pcai�ed,•Paym�tat be made ss o�.
THANK YOCIL� DAN �OI,1... E5I7rMTOR � '
SFL1 ��N�MERCZAI.D11�RSlON .
TSE ATrAL'�.'D�'ADDITIOI�P.�Y,Q�NTJlACT r AY1E�PCORPO$�►TE�HSR�T B'�'
�CE prT�ARS PwftT OF TBLS '
SFLI► RROFIN�SL RtiVIODII.ING►1NG: � C[IST'O
BY. � � BX ' �
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DATED• II f D,�_, DI�TED: ���'�I Q3
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