P - 35815Build��t�
Inspectivn�
7�3�572-3�04
bnTC b —`�1—
�r i r; ������c�5s �
'i'F{1S Ak'F'LI(:ANf t5;
BiTILL1IN�
R�SIDENTIAL ��'����ATI�I►1V
�iT� C1F FRII�LEY
YUUIt C�MAIL ADUkF.iSS `
----
- '1 �4 � l A�I.E, ST� � - S"S'
_.._.—� �13Z
� UWNER �CONTR.4CTOR �
Permit No.:
r�.�G��v�a �y; W u�'�.
r��t�f�'�: ��� 0 � 20
P'fitUFI:RTY4WNEI�/ �.�,n�_'�� .._Q.�2fSi__
'1�,NAlVT _ ....... ...............�._�—
P,DD1iESS _rTLI � �—'rl.�� i_A� I.� �T . C'I"1'Y�2 �(�'�/ --. -- STA� �!Y C�'�'�i 2
PHONE: ^ " I
COl'VTRACTpR
SUFIMITA COPY OF
YOUR. STATE LICENSE
V4ITH A�'PLICATION
_._---- -
1'ROPERTY TYPE
F�,RM��r �x��
N�►�re:, -.K..IZI=� —1n/�
STATC LiC:GNSG # ��
�D�SS:--!-� �-1 8 .. ...�
PHO�r, b�l - .'78b -
Q $1N[}�,Fs FAMILY/NEW CC
b rwo rntvtt�Yirr�w �.oN�
❑ Hn�kMKt��i� r��rv�sH
Q L)H[:IC.
�V�I F1�f "� 12 P2 ��, j�,1�1 �
. _...
_._...... ,.
(�.,� L. HXN DATE
._ .... .,. ... , . .. ..�..._...,__ •J
I.�r..�� ��• CI'fY.�(�o ��},�(S STATF�j1�,j�'���
A ��/i� � _ ..
�ESC.ftIBE W��K F3FlNCi �ION.F:_I.,1�_�?R-
SIZE UF 1MPR�JVEMENT
s�unitcs „TM_
CS
1'[tUPUSBD StZE;
FRn[�9GD HCi(3I-1T:
,51iRiL�lsi
❑ Vinyl
Ci Aiu�niman
❑ 01her
rax hsl -iBG� -
� �.00r•
o srorrru
CJ N(.�L1SR & CiARAC[i
fJ A'1"I'AC:H�D UAKA.CiE
❑ T1�TAC7I�D UAItAdG
�lSs�fkit
❑ Trim
O rasc;n
}:�1�'�13'�
fN h7(1$1'�NCi t)YBN1NCi5 �.IYes ONo LOCATION OF WINDDWS
OA FOR 1VEW OPCNINQ3-DLSCRIDL• SIZCi t.)4�
c)Pt3NINCi C>HANCiN.5 tR�
Wl
AL,� Fk;�S A,RE BASE� ON VALUATI(lN, INCLUDING '�H� C'O�T O�
(U5lNG THE 1997 U,B.0 F�E SCHEUULI;)
TtDTq,I.,iVBYA�,UATI�riT� '7_ gt�'f). °O r�r',�rPSnrr„
Perir►it Tee
Pletl Rbvit�w
Fit� Sarcharge
Suu�ch�tge
L.icense Surcharge
SAC ChArge
Curb Cut Escrow
Etosi�rt G<mt�l
Park Fee
Sewer Main Cti�rge
� -----
� ��
s
�
�
S
�
$ -- --- --
�
Ft.
AASEMHNT R�MCIUEL 1NG S UHMf f•
i. Gxistin�, Ploar Plan
2. NrnpixaGd flnur piAn
3. List of structural me�nbers tu be �r�l
PORN�W CONSTi�IlCTIU1J 1NCLUDINCi C1yC:KS,
�A!?.�?,LTJ.S?�V��.a� �'�j�S,'•HF4 SU$sSiT:
1. Site pinn/Survey showing thc cxisting atructnras
nnc! prupusad pru,jec�
2, rwa scrs of oonstrnction plans
3. Encr�;y �Alnulutinns
AIY� MAT�R�A1.S:
______.._.._�
5e:e 8ack Pa�e fvr Fee Schedule
65% of 13uitdin� perinit ! ee
A01 times the tot�l jab valuation
.00OS x Permit Valuation Minimum $.50
$5.04 (State Licensed Residential [;antrt�vtur�t)
$155D per SAC Unit (Ptans to MWCC for detienninatIon)
R+�i��=N fitx$2l=$
$�50 Conservation Pla�i��teview
Fee Determin�d by �ngineotting
�1�;reement necessary { ) Non Necessary ( ) •
Mxke Checkx n�tvable to: Citv ��iFridlev Attwn
'1'HIS IS Ah APPLIC'ATIUN AOR A PERMTf•NOT VALID UNTIL PR()(:�9SF..p
1 hurc�by �p�ly fc�r � buile�tn�; permit ftnd I acknowledge that the information abuve is wmpl�tc anci accurate; tbat tiie work wIll be in
eonfocm�nec� with cho urdin�tncos �pd Ct�de;s �f the City of Fridley and with the Micv�esota Construccion Cod�s; thal t und�rstand this is not a
perrnit but only an application for a permit and wark is nnt to stti�t wikl�out a pes7�iit; that the work will be in �ceordflnce with tho flpprc�vad
pl�n in tlie case of a11 work yvhich reqc�i�s re�view and appmva! of plans.
SI(3NATIJRG c?f' APPLICANT,.,'����,��•�/J� . ,�A[t1NT NANIC_M�� (, - v r �DATT g�['"I �
�•9
AUG/03/2011/WED 11:53 WCEC FAX No,763 425 5312 � P.002
A Q�y U Pa� Eti s965
� oR�W �
YEfUMNENTLY
oate �$ DI��QI
Proposal submitted to _ _
Address
City, State, and Zip Code
WoAc
�v�/��'�/� d::::.':�;':r"�
�
WAT�RPROOFING �
�MN Contraator Lic. #�20638376 8C
448 Lilac Street • Lino Lakes,
Cell
;;�:;� � �'� ;-�e
':r :
:�Tx �'; -
^�:. . .': :
.. . . .. �;��?
www.r�te
;got
I�ab b'
�
and Zip Code ;
Fax 7�t3 �a5 53/a I Emall Addross
786-0555
This proposal (Contract) entails the following activities to be performed by Rit�•Way Waterproofing:
To irotatl an underground drain system below the basement floor fevel ea indkated on tlie deta8ed drawirq. A perforated bur inch plastic pipe shell be installed
in a trench and wifl ba ancased hy a minlmum pf Mro k�ches ot aushed rock. 8bck w�t �rudla+ shall have each caviry and aeam dr�led as near the foundation
level es teaeiWe o� the lower courae of blocks. A one half inch plaatio drain pipe or t/2" drain bonrd shell be Installed onlu� eech of tha dfilled oavltles md aeame
ao tl�at any water wdl be Mained iMO She plasC�e pipa line. The plestic line ahaq tertninate in e sump end a pump wiA ba installed to remwe the accumulated water.
The trench shall 1� cgmented tp lhe Ipv91 pl thg b869meM floor. We wlp be leaving a vapor gap batMreen Ma floa and the wall to eateh any molstun and
oondaneatia� from tha wel(s.
Th9 owner b reaponsibb fot the remwai of appliarroee, tumiture, cerpetlng and clearing Ma exopvatipn �a bpforo we arrive to atatt tha �0. 1t they are not
romoved end it becomes netessary tor RitaWay parsonnel to remwe them, we wiW not be rosponsible for nny roauNing dametge3. Rke-W8y WBterpro0fing vv�li
rat bo ra:poncibla ta �ob duSt or th9 rs8toranOn Of tlle, pai�t, or carpet abng the area af excavation. Upon final payment, Rite-Way Waterproofing witl iaaue a
flfetime guarantee vh�ere our drein tile haa been instNled. The guarant68 OoBS not cOver opnden38ttOn Or tlflmpnE86 on wally or f rS• TM pump exlt Ilne
arc eovsred by a sepante 1 year manufaeturs►'s wartanly. �' �,
NORTH WALL oZg Ff. POUREDYVALLS ,V� SUMP• EG E �UM .1/3 HP 1/2 HP
SOUTH WALL FT. CERAMIC TILE/LINOLIUM/W000/CARPET/I� CEIUN GHT
EAST WALL Ff. �I�QID�/FUR STRIP/2X' '�F'�DX NONE HZO PROOF: EG ESSMfW "�"
WEST WALL Fl: �SH�PANELING Y� VAPOR GAP,�'++'!IL"
TRUNK LINE __��FT. BLOCK WALLS (�COREj _� POLY DRAIN '
T071►L �. O FIREPI.ACE: D GUARANTEEb ❑ NO7 GUARAN7EED
❑ IF HEARTH REMOVED
Addftions Ri�,�,ll va UoeS._.SNot �over
�Homeowner to supply 1 t 0 electrical outlet ior pump (10 amp)
�PanelinQ and/or sheet rock walls may have to be cut
off at the bottom ' din ra in �_ w��
y�Nail heads may pop or corner seams may separate on 2x4 ` 1�
sneet rocked waus. ►
�Painted walis may become nicked or stained �
�' Tile fn eucavation area wifl be lost �
Fioor may have to be beveled �
"� Carpeting to he removedJreplaced by homeowner $� �
,/��Baseboards to be remQved/replaced by homeowner �
.��Bathroom fixtures ( g� s)f ower, vanity, etc) to be removed/ ��
replaced by homeowner �e °'� ��/ i
Qther items to be moved by homeowner�<6or ,��yev, I_, _ 1__
�,i
e� u+t�i
5�' „�i-
- ! _ - _ _ .� .�.�
!o�{
��
-- -- -_
Zoellero Hiph Water Lavel Alarm Add: S___�� pty;�— i�S U
7oe11erm Battery 8ack-up 5ystem Add� � Qty:_,,,,�.� y�5 Q i
_ . . . .. . . . . . . . .. . --� ---••--- �- ------�-� --------•- -..�_ _._.._...-- -��--- •- -•--�--.....�..,-- ---�'-- •-
Thi� bld i� bassd o� vieusl oxtomwl �hspoodon only ano awume� uro vw�cva�au wuqr����.. �� w�o o.�............ ..._ ._ ..._... ._ ,._.._. o.•--°--. ...
dro oase oI structunl v�rfanaa, pks Wsyle irof napor+alb/e for reaulNnp QemeBea, md rsaenrea fhe rlphf � wlthdrew or renegoWts fh�a rgnomonf.
q bId /s �wt n�neaatlarod, and R/toway has sant a enw to the %ob but It cannot be dw�e at the orlglnal oontraot pMce due to vaAanees. t Z09G o/ fhe
oAgfnal b/d wUl ba onred by 8ra hemoowner. Examplw of vafancn; bloek cavitles fi��ed wkh oemer� rro foundaQoh under atruduro: floati�g �lab
floor; tloer dspth exaoptlenally thln or thiek; ebstructlo�s embeddsd In conerato (low such aa heat duots, water and sewer pipea, elactrical oonduit,
hot watx plpK, re�nfor�ng rods, Iron dopoalts and excasstve ssnd IrAlkrstlon, a�., whioh would InteAere witA tho installation.
TI» ownar(s) aeknowbdgei tfat Ww w�re k+formed ot my/our right to ea�ce� d+�s a9►sement aa roqufrod by law and that Ywe hava been fumishad
a{pf �n oxaot eopy bt this co�hac!• You, tho buyw, may eaneel thla purehaso ai any tlme prlor to mldnight of the third busfness dsy atter the date of
purohase. Ownef �graes thet in went of wu�ooUadon Myo�d throe busl�ess days ot thls eonvad date, owner shali pay o� demand, twenlY-five (25Ye)
pxcent of the contraot p+ice as ite' sNpulatW dam�os 1or tha 6roaeh•
� CONTRLAC'1'OR PRE-� �� N��
(a) "A PERSQIO OR COMPANY SUPPLYING I.ABOR OR MATERIAIS FOR THIS IMPROVEMEN7 TO YOUR PROPERTY MAY FILE A LIEN A4AIN8T YOUR
PROPERTY �R TNAT PER80N OR COMPANY 18 NOT PRIP P0:17'NE COIYTRIBUI IONS•
(b) UNDER 11dNNESOTA LAW, YOU HAVE THE RIGHT TO PAY PERSONS WHO SUPPLIEd LABOR OR MATERIALS FOR 7NI8 IYPRO��ENT
DIRECTLV AND DBDUCT THIS AMOUPR FROM OUR CONTRACT PRICE, OR WRHHOLD THE AMOUNT DUE THEM FliOM US UNTIL 1Z0 DAVS AFTER
COI+IPLETION OF TME IMPROV81dIENT UNLESS WH GIVE YOU A LIEN WAIVER SIGNED BY PERSONS WHO SUpPLIEO ANY LABOfi OR MATERIAL
ROR TME IMPROVEMEN7 AND WXO OAVE YOU TIMELY N0T10E."
��&e hereby to furnish aterial and labor complete, i accord n� with the above speafications tor the sum o�
r�1JV �Ci Iti � � Dollars ($)�S� •
a,y ahw•gon «dovlacion from aowa spedncanona MrvoWirg exhs aosts Dollars (S)
win bs mropned oMy upon wrinon o�ders, sqnea br corvorate otficer or (Optfo�&I Items) Sub-7ota1('�)
aaks o�t. and wiN bacomo an e�Rra d�mpe over and �ove the estineie.
nr Job aates ca+tU+pent upon a�nkea� aoaee�ts or dNa�a beymd wr ��j _o�� Down Payment ($) �- ��
aontrol. Ownnr to carry 1'ue. �mado, and otl+x heceese�Y Mwrerwe. ��--..�� �� /-
kaf a� calc�rn depoaits and exeessive aandlaoN i�iltralion dw to 681d�IC0 (s��1�-
orecKed walls not coveted in �ueranfoe.
Rue.Way w� not be responsiwe ror tne presenee ot or demage oawao PAYMEMI" TO BE UPOPI JOB COMPLETION.
qr arry mold, mitdew, tunpi, bacterfa, yeast. « their apwas, aoent w OWNER/A(3ENT TO PAY FOREMAN UPON J08
byproducts. rnis excwaon shap appiyto removinp� c�eening �+p. treatin9. COMPLETION UNLESS OTHERWISE NOTED.
dato�Q(ying, neutralisinp, temedi8ting, or diepoeing of any iuch �� ������ ��r ���
sub6Cina a�d ie aWp�iceWe wheU+er �h9 gubei9�ce wa� prose�t pdor co
or wbsoquant � me vwrk pe�om�oe W ana-way. Represeniatives signatu
comp�u�r emabyoee aro oo�xed M�n�^en's C«naeneatbn �ns�xa�• �voa: n,is propoad may w us wlthbi 3o ds .
��� ,p� ��cgl — The above prices, speciflcation� and condiUons ar tisfa and an hareby
accepted. Rits-Way Waterproofing is authorized to parform�ork as spedfl . Payment as outlined abova
$'l ,ZO 1( 57ivi�`�' � � �eb oF
Job on or about
Owner's signatur@ �� $ � t