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Home My WebLink About2011-00354 - roofing CITY OF ORONO PERMIT NO.: 2011-00354 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 685 OLD CRYSTAL BAY RD N PIN : 33-118-23-21-0002 LEGAL DESC UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 356,100.00 NOTE: ISD 278/SCHUMANN ELEMENTARY-2011 ROOF REHABILITATION APPLICANT PERMIT FEE SCHEDULE 2,598.75 PALMER WEST CONSTRUCTION CO PLAN REVIEW 1,689.19 14595 JAMES ROAD ROGERS,MN 55374- STATE SURCHARGE(VALUATION) 178.05 (763)428-1867 TOTAL 4,465.99 OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques in onformance wi Building Code.This permit may be revo ed at y time f r u c s App cant PermiteCSigndCre Date Issudd By Signature Date SEPA PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. s 05/1,12011 15: 33 7634281873 PALPIER WEST CONSTRUO PAGE 02 City of Orono `' r�3`� Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Malling Address; Permit number: -Q�3 r Box 66 o� Crystal Bay, MN 55323-0066 Date received: O C O Street Address: Received by: mR 2750 Kelley Parkway Plan review fee: �`7 X" F Orono, MN 55356 Total Fee: / Main; 952-249600 Fax: 952-249-4616 www,ci.orono.mn•us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: (v BS (-)I J Crli 5 k•t -8 04 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No if yes, a special event permit is required with Police Department and City Council approval 60 days pfor to the event, Shuttle bus s rvice will be requirad unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: p't,kft w t. e,sk (o.,s State License# 1) A Expiration Date: Lead Certification Number: fl L4 Expiration Date: (for work on homes that were constructed prior to 9978 Phone: -7 t,3 - LAI 6 - I$ It (office) G l Z - 3 3 q 'S S 8 a- (cell) Mailing Address 14S 4-S si is R ,�P City: ,R,:" "5 riot^_ ZIP: 5S 37y Contact Person: -7-1 Applicant is: Contra or ! Homeowner (ClrcleOne) Email and/or Fax: �@_A al n�• �.s ask• rt e,-�- PROPERTY OWNER INFORMATION: Name: Dron,o FLO,\-C_ 5��9�1s Phone(day): R5 z - 4 41 - SLIoa Address: (005 pfd G�sk,l antis City:L'►7 .�" zlp: 5S35� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration El Other: P (specify) hone!v952 47 55391 Phone: 971-059D Re-roof ❑ Fire Damage Fax: 952-471-0682 www.m i n oph aah acreek.c ro Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 3!s Le, I D APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information required or requested by the Building Department; Certifies that the information supplied Is true and correct to the best of his/her knowledge. The applicant recognizes that they aria solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or ail of the Information that you are asked to provide on this application is classified Dy State law as eithor private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data, Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If you rqfu-%Ve to Suppl the infarmation the application may not be Issued. Applicant's Signature: pate: Last Updated, 03-01.2011 05117/2611 15:33 7634281873 PALMER WEST CONSTRUO PAGE 03 ��MDW CA OR 0 NUA �'•8•D�II V� Ya I�C7 41111 9 it Z i _a 2 6 'yds D \ /r \ i ¢s ` \ a F,...F/7", ------------ I —.l.__ L..I......,!.. ..... `• hA pz' R j I- •................. $Ff �: if 8 ------------------- gill q ti VRONO INDEPENDENT SCHOOL DISTRICT #279 . �' •jam"°"--• ••••-'°"' ^b" _ IYRICff 90�DD.00 665 OLD CRY5TAL BAY ROAD _ IONC IAKE,MINNESOTA 55356 2011 PARTIAL ROOF REHABILITATION or.4 05/17/2011 15:33 7634281873 PALMER WEST CONSTRUO PAGE 04 113A 4a �$ P NW + � @ of 11111.8.0®II N81 H[3 J •s M ED ry u _tee l M �I ti p Y Y V a Y F mbRONO INDVpNDBNT SCHOOL DISTRICT#VO �° 1°°k �smur enaau 689 OLD CRYSTAL BAY ROAD LONG LML MINNESOTA 55955 IWS UVOm\b 20T1 PARTIAL ROOF REHABILITATION — � NOUVIrUGVH31 dOOa 1VLLt1Vd L= an#�"�q'�� 9SEs6 VIMNNIW IM 7N01 OV01 AVG 1VAMIO 010 seg asr m ea#t.)ius10 IOO105 AN94N3d3f3NI ON01%, 0 Iasi Jill qY7 M l� C s 6 b 0 u t i Jill IS 1141"011 !!,. aaOAticSJ.a•tl+a i 90 3Jdd onNiSNOD 1S3M 83WIdd ELBTBZVE9L EE:5T TTOZ/LT/50 05/17/2011 15:33 7634281873 PALMER WEST CONSTRUO PAGE 06 all g 9 as e o R P 9 Aw pp 9i p�Cz� 9�+ lbRONO INDEPENDENT SCHOOL DISTRICT#x79 °` o-a^ mow' EA 684 OW CRY6TAC BAY ROAD _ " nbun sn+aogg, LONG lAUS,MINNESOTA So% ffffl 11 a 20TI PARTIAROOF REHABRATATION -- — �� !� '�'��j"bl'8a° /am 4 7�4 05/17/2011 15:33 7634281873 PALMER WEST CONSTRUO PAGE 01 P WAC Palmer•West Construction Co..Inc. Send to: City of Orono Prom: Tim Slake Attention: Building &Inspections Date: 5.10-11 Office Location: office Location: Rogers Fax Number: 952-249-4616 Phone dumber: 763-428-1867 ❑ Urgent ❑ Reply ASAP Q Please comment Q Please review Q For your information Total pages,Including cover:6 Comments: Commercial Roofing&Sheet Metal 14596 James Road•Rogers,MN 55374•P:763.426.1667•F:763.428.1873 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651)284-5005 St. Paul,Minnesota 55155 1-800-DIAL-DLI www.dii.mn.gov LABOR & INDUSTRY TTY: (651)297-4198 PROJECT JURISDICTION AGREEMENT BUILDING OFFICIAL: Date: 5/12/2011 City of Orono Building Official OieCEIVED Lyle Edward Oman NAY 16 2011 2750 Kelley Pkwy CiTyOF pRp Orono, MN 55356 NO Project: ISD 278/Schumann Elem -2011 Roof Rehabilitation Location: ORONO, MN 55356 Address: 685 Old Crystal Bay Rd State Plan Review Number: BLD1103-00116 Date Received: 3/23/2011 Dear Building Official: Attached is a copy of the notice to the Architect/Designer of the project described above as to the agreement reached between the Minnesota Construction Codes and Licensing Unit and ORONO delegation building code administration to your office as per our agreement on this project. Yours truly, CONSTRUCTION CODES AND STANDARDS Jerry Norman, Supervisor Building Plan Review GN:mw 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 Q, �j 1-800-DIAL-DLI www.dli.mn.gov tAftLABOR & INDUSTRY TTY: (651)297-4198 THIS IS A CHANGE FROM THE ORIGINAL LETTER PERMIT JURISDICITON AGREEMENT ARCHITECT/ENGINEER: Date: 5/12/2011 Joe Bohrod SRI Consultants 9220 Bass Lake Rd Ste 380 NEW HOPE, MN 55428 Project: ISD 278/Schumann Elem -2011 Roof Rehabilitation Location: ORONO, MN 55356 Address: 685 Old Crystal Bay Rd State Plan Review Number: BLD1103-00116 Date Received: 3/23/2011 An agreement has been reached between the Minnesota Construction Codes and Licensing Unit and ORONO whereby the PLAN REVIEW AND BUILDING INSPECTIONS WILL BE DONE BY ORONO Please submit all plans specifications, and appropriate fees to ORONO. You must follow their submittal process and fee schedule. Please refer to our assigned project number for their tracking purposes. Sincerely, CONSTRUCTION CODES & LICENSING Jerry Norman, Supervisor Building Plan Review GN:mw C: City of Orono Building Official, Lyle Edward Oman This information can be provided to you in alternative formats(Braille,large print or audio). An Equal Opportunity Employer �Mi 'a Department of Lab us 443 Lafayette Road Nort OtL LABOR & INDUSTRY St. Plkull Pho 351 +5068 VAR 2 3 20H itial Application for Plan Review www. 1 ..L�J Please compli ite this application and return it to the Construction Codes and Licensing Division prior-,o your expected plan review submittal date.This will help us expedite your RM,W_ k INK or TWE your re9ponses. project while v re determine where you will make application for plan review. PROJECT TITLE PROJECTED CONSTRUCTION VALUATION 2011 ROOF REHABILITATION SCHUMANN ELEMENTARY $150,000.00 ADDRESS ANTICIPATED START DATE 685 OLD CRYSTAL BAY ROAD JUNE 13, 2011 CITY OR TO�OMSHIP WHERE LOCATED--PLEASE VERIFY COUNTY OYVNER(OR STATE AGENCY IF APPLICABLE) CONTACT PERSON ORONO PUBLIC SCHOOLS-DISTRICT 278 JOHN OSTLUND ADDRESS PHONE 685 OLD CRYSTAL BAY ROAD (952)449-8314 CITY STATE ZIP CODE FAX LONG LAKE MN 55356 (952)449-8399 DESIGN FIRM PROJECT CONTACT SRI CONSULTANTS JOEBOHROD ADDRESS PHONE 9220 BASS LAKE ROAD, SUITE 380 (763)533-2727 CITY STATE ZIP CODE FAX NEW HOPE MN 55428 (763)533-2772 Public(state-owned)building paid for by the state or other state agency for: [_1 National Guard EJ Historical Society [I MN Zoo 7 D.O.T. D.N.R. El Iron Range R El.M NSCU(State College or U niversity) El State Hospital El State Home El Capitol Complex Public school district building of$100,000 or more in construction cost State Licensed Facility licensed as a: F71 Hospital El Nursing Home Correctional Facility El Boarding Care Home El Supervised Living Facility Free-standing Outpatient Surgical Center El Residential Hospice CLASS OF WORK El New Building Construction El Addition Remodeling El Other, specify IBC OCCUPANCY CLASSIFICATION(S) I,TYPE OF CONSTRUCTION EDUCATIONAL OCCUPANCY GROUP E (PE 1 PROJECT DESCRIPTION Removal ofexisting modified built-up roof systems including insulation tometal deck and installation ofnew class A fire-rated asphalt built-up roof system. Reroofing areas totalapproximately 15.ODDsq. ft. Upon receiving this completed initial application,we will confirm proper jurisdiction for the project, assign a project number,and determine who will do plan review and Inspections.Within a few days 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 fhatit does not authorize the start of construction. APPLICANT NAME(PRINT) PPL T E DATE JOEBOHROD 3/23/11 ThIs material can be made available In different forms,_�Ilch AR I=Ljrint Braille or on a tape. T o request,call 1-800-342-5354(DIAL-DLI)Voice or TDD(651)297-4198. BCS 01(7/10) °moo City of Orono ti 2750 Kelley Parkway P.O. Box 66 Crystal Bay, MN 55323 (952) 249-4600 Fax: (952) 249-4616 FAX TRANSMISSION COVER SHEET Date: �d�01/I To: tuessf 0-ras4f-vabo-?j Fax.- Re: ax:Re: l:vushi E4y Sender: Q A L YOUSHOULD RECEIVE PAGE(S), INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (952) 249-4600. LS + �e� ULF IS Ll � 5. � � Confirmation Report — Memory Send Time May-20-2011 11:05am Tel line : +9522494616 Name CITY OF ORONO Job number 830 Date May-20 11:04am To 7634281873 Document pages 002 Start time May-20 11:04am End time May-20 11:05am Pages sent 002 Status OK Job number 830 *** SEND SUCCESSFUL *** o�-��o C'z�y of Dy-ono 27.50 Kelley PcsrJr+vay P.O. Box B6 Crysscrl Bcry, 4d7V SS323 �9sa� 249-4600 Faac: (952 249-4616 FA7�T1:ANSMISSION COVP12 SHEET C:L Far: -7 4e 5 Sender. l�/i Q (/v L{ YOUS�IOULD RECEIVE �� p/IGE(S�, INCLU.DIIVG3 T'I�t•!S COYER SFrTEET. IF YO U DO NOT RECEITiE�1L,L TIIE pf1 p,�Q PLEi1SE G3LL MS-2!.) 249-4600. �Q �-,� S_