Physical Development—Inspections | 7800 Golden Valley Road, Golden Valley, MN 55427-4588
763-593-8030 | TTY: 763-593-3968 | www.goldenvalleymn.gov | planreview@goldenvalleymn.gov
Please complete and save this form. After your building permit application is complete in PIMS, you will receive notication to upload your
plans to the Drawing folding in ProjectDrox and upload this form into the Documents folder.
Provide one electronic copy of each of the following items:
1. Written scope of the project
2. Shop drawings and a section view of new roofing system, including structural components of existing roof
3. The listing (UL, FM, etc) of each specific manufacturer’s product being installed
4. Flame spread documentation for any foam products being installed
5. Thickness of all products being installed
6. Fire tested assembly number designation (UL, Factory Mutual, ICC, or other)
7. Any documentation from a Minnesota registered structural engineer
8. Manufacturer’s installation instructions for the specic system being used
Please answer the following questions.
1. Are all the existing roofing materials being removed to the structural deck? r Yes r No
2. How many square feet is the existing roof? _______ How many square feet are being replaced? ______
3. What is the current type of roong system? r Built-up r Membrane r Other
4. What type of roong system is proposed? r Built-up r Membrane r Other
5. Will the new roong materials reduce or increase the current dead load? r Increase r Reduce r No change
6. If load is being increased, a structural engineer must review and approve the additional loads. Engineer’s report attached?
r Yes r No r N/A
7. Are any new drainage devices being added or altered as part of the re-roof? r Yes r No
8. Per IBC Section 1505, what class designation is the new roof system? r A r B r C r Non-classied
9. What overall R-value will the new roof produce? ____________
10. Per IBC Sections 2603.4, 2603.4.1, and 2603.10 will a thermal barrier be required as part of the re-roong project? r Yes r No
11. Will any electrical, plumbing, gas, or mechanical items on the existing roof need to be disconnected and re-connected
as part of the re-roof? r Yes r No
Separate permits are required for any mechanical, electrical, gas, or plumbing items being removed or replaced in conjunction with reroong.
Please note:
1. Roof systems shall be designed for wind loads in accordance with the 2015 MSBC Chapter 16 and Sections 1504.2, 1504.3, and 1504.4 for
the appropriate category of building. Edge securement shall comply with Section 1504.5 and ANSI/SPRI ES-1.
2. Inspection of roof decking is required prior to installing any roong materials.
3. Water from roofs is not allowed to drain upon public sidewalks.
Commercial Roofing Requirements
