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CONTRA�.'TOR
SUf3MIT A COPY OF
YOUR STATE LICENSE
Vl%ITH APPLICATI(7N
PEZUPERTY 'I'l'NE
F'�',RM�T TX�'F
$ijlj,� �]!1�(;� Permit No.:
ItESIDENTIAL ��'�����ATI�N ���e1V�
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ADDRE55:__ y_y $ . .. �
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PROPQSGD I�ICiqt•IT: ...�_�
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❑ Vinyl
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❑ Other
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iN F..X15"1'IN(+ UYNNIN(iS ClYcs QNo LQCATION OF WINDOWS
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c7Pr.'NING C'HANGNS Rc
TYPE OF WI�lUOW Tl7 BB INSTq�,1,�FC) NUMI3L�R OF WINDOWS
�A,�,1., F�FS A,RE BASE� ON VALUATIdN, INCLUDING 'I'H� t'O'�'T d� 1
(U5lNG TiiE ] 5►97 U.�.0 F�E SCHEUULI;)
TQTAL �TQ� VA�,[JATiUN � �. %C)C) . ��_°. ----. [7CC:Ul'Af�ICY
Permit ree
Pitfn Rt�vit�w
Fite Surcharge
Surchar�;e
I.icense Surcl�arge
SA� Charge
Curb Cut Escrow
Eroqion ��mtrol
Park Fee
Sewer Main Cl��rge
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pASEM�NT RL.MC)UGLINCL,,SUNM['I'•
1. Existi►tig Clour Plan
2. NtuPu�d floor plan
3. List of suu�tural membets li, bt u,�ad
PORNLW CCINSTRiJCTION 1NCL11DtNt� 1)l;t''K$,
a�.�a.T.����a,.�..�.o�ts;.�.� �T:
1, 5ite I'IEI�IJSUTYCj' SF14li'Ii1g tI1C CXISLIIi�S$l1CtOfES
arul propostd prujnul.
2, 'i'wo scts of consiruction plans
3. Ener�;y Cedculatinns
A�Y[i MA,T�1t1A,�.S:
��.4 8ack I�a�;e for Fee Schedule �
65"/0 �f Buildin� permit i ee
,001 times the total jab vAluAtion
.OU05 x Per►nit Valuatioz� Minin�um $.50
�S.DO (Stt�te Licensed Residenti�tl C;ontr�tCtt�rs)
$155D per SAC Unit (Plans to MWCC for determination)
R+G'11–, ttx$2L=$
$�50 Conseiroatio�i Plan Review
Fee Determined by Engine�ring
��;reement necessary { ) Non Necessary ( )
MHke ehecks �,�_ym�,1e ta: Citv of �'ridlav Attac
'fHIS IS AJti A3'PLICATION NUR A PERM)T•NQT VALID tJNTIL PRVGF9SFp
1 h�rUby ap�ily for a builc�i�ig per�nit and I acknowledge that the information alxyve is wmpl�te and accurate; tk�at tiie work wil! be in
confarm�ncc� with thd urdin:tnc:ps �pd codes ot the City of Fridley and with the Mituiesot� Gonstruocion C:udc�s; that I und�rstand tliis is nat a
perrnit but only an application far n permit and wark is n��t to st�irt witl�out a perniit; that the work wi11 be in Aceordflnee wilh tho �pprovod
pl�t in the case ofall work�which �eqaires rev�ew and approval ofplans.
SIGNATUR� QP APPLICANT ,,,,,,��j�!i��� /�.i� „--���i��,._PRINT NAM6 1!' f �� �/ '� (.'�'�bATr O�� �'� �
77'
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� ���y uP , . d � ��,� ������� ��, ��. �� � � �� ���
O Si�+ce 1965
�' �.��� � r � /������ �G �
�p��"�?��j WET BASEMENTS �� � ����� '�';— "��""�„Ts� �
��%�...._ pERMANE��� WATERPROOFING . ,. �. �
�Date MN Contractor Lic. #20638376 BC www.rite-waywaterproofing.com��� �� ��� ��
Gj/ -,�d// 448 Lilac Street • Lino Lakes, Minnesota 55014 •(651) 786-0550 • Fax (651) 786-0555
Proposal submitted to
i1���k D�_�
Address ���7 n�n�� p�
C% /�
City, State, and Zip Code ��` N
/
Home ell ��
Work —„ „ � .,., ._ _ _ Fax
Job Name
Address
City, State, and Zip Code
Home/Work
Email Address
Cell
This proposal (Contract) entails the following activities to be pertormed by Rite-Way Waterproofing:
To install an underground drain system below the basement floor level as indicated on the detailed drawing. A perforated four inch plastic pipe shall be installed
in a trench and will be encased by a minimum of two inches of crushed rock. Block wall construction shall have each cavity and seam drilled as near the foundation
level as feasible on the lower course of blocks. A one ha�f inch plastic drain pipe or 1/2" drain board shall be installed on/in each of the drilled cavities and seams
so that any water will be drained into the plastic pipe line. The plastic line shall terminate in a sump and a pump will be installed to remove the accumulated water.
The trench shall be cemented to the level of the basement floor. We will be leaving a vapor gap between the floor and the wall to catch any moisture and
condensation from the walls.
The owner is responsible for the removal of appliances, furniture, carpeting and clearing the excavation area before we arrive to start the job. If they are not
removed and it becomes necessary for Rite-Way personnel to remove them, we will not be responsible for any resulting damages. Rite-Way Waterproofing will
not be responsible for job dust or the restoration of tile, paint, or carpet along the area of excavation. Upon final payment, Rite-Way Waterproofing will issue a
lifetime guarantee where our drain tile has been installed. The guarantee does not cover condensation or dampness on walls or floors. The pump and exit li�e
are covered by a separate 1 year manufacturer's warranty.
NORTH WALL ag FT. POURED WAILS N � SUMP• EG DEEP PUMP� /3 H-1/2 HP
SOUTH WALL �FT. CERAMIC TILE/LINOLIUM/WOOD/CARPET/ ON CEILING HEIGHT 8�
EAST WALL �i�FT. A�I JN /FUR STRIP/2X2 2�lONE H20 PROOF: EGRESS/WW —
WEST WALL �FT. SHEETROCWPANE G � a VAPOR GAP �
TRUNK LINE �FT. BLOCK WALLS COR /3 CORE) YE5 POLY DRAIN �YF S
TOr,aL /,3 �, ❑ FIREPLACE: ❑ GUARANTEED ❑ NOT GUARANTEED
, ❑ IF HEARTH REMOVED
Atlditions Rite-Way Does Not Cover�'
��Homeowner to supply 110 electrical outlet for pump (10 amp)
Paneling and/or sheet rock walls may have to be cut
� off at the bottom includin ramin
— Naii heads may pop or corner seams may separate on 2x4
sheet rocked walls.
y�Painted walls may become nicked or stained
"-' Tile in excavation area will be lost
"- Floor may have to be beveled
— Carpeting to be removed/replaced by homeowner
— Baseboards to be removed/replaced by homeowner
�"' Bathroom fixtures (toilet, shower, vanity, etc) to be removed/
replaced by homeowner
Other items to be moved by homeowner
S� S•
Tunneled areas NOT g�aranteed I�O�J'L
NORTH
• Zoeller� High Water Level Alarm Add: $ �� Qry:�_ ��S !��
, Zoelier� Battery Back-up System Add: $ �i5a`= Qty: I Y�Q Np
This bid fs based on visual external inspectlon only and assumes the concealed components of the structure adhere to standard buildin prectice. In
the case ol structurol variances, Rlte Way Is not responsible for reaultlng damages, and roserves the Nght to wlfhdraw or renegoNate Mls agreament.
N bld !s not re-negotiated, and Rlteway hae asnt a crew to the /ob buf It cannot � done at the orlglnal eontrect pAce due to varlancea, c�.20% o/ the
orlglnal bfd wl11 be owed by the homeowner. Examples ot varfances; block cavlties filled wlth cement: no foundatlon under structuro: floating slab
floor; floor depth exceptionally thin or thiek; obstructions embedded In concrete floor such as heat ducts, water and sewer pipes, electrical conduit,
hot water pipes, relnforcing rods, iron deposits and exceasive sand Intiltratfon, etc., which would intertere with the Installation.
The owner(s) acknowledges that Vwe were Informed of my/our right to cancel thia agreement as requlred by law and that Vwe have been furnished
with an exact copy of this contraet. You, the buyer, may cancel this purchase at any time prior to midnight of the third business day after the date of
purchase. Owner egrees that in event of cancellation beyond three business days of this contraet date, owner ahall pay on demand, twenty-five (25N )
percent of the contract price as fts' stipulated damages tor the breach.
CONTRACTOR PRE-LIEN NOTICE
(a) "A PERSON OR COMPANY SUPPLYING IABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A IIEN AGAINST YOUR
PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS.
(b) UNDER MINNESOTA LAW, YOU HAVE THE RIGHT TO PAV PERSONS WFIO SUPPLIED LABOR OR MATERIALS FOR THIS IMPROVEMENT
DIRECTLY AND DEDUCT THIS AMOUNT FROM OUR CONTRACT PRICE, OR WITHHOID THE AMOUNT DUE THEM FROM US UNTIL 120 DAYS AFTER
COMPLETION OF THE IMPROVEMENT UNLESS WE GIVE YOU A LIEN WAIVER SIGNED BY PERSONS WHO SUPPLIED ANY LABOR OR MATERtAL
FOR THE IMPROVEMENT AND WHO GAVE YOU TIMELY NOTICE."
hereby to furnish^� terial and labor complete, in acc rdance ith the above specifications for the sum o•
a--.��O�iti �cn.nc`�, �F So Y ��'►An � � �� � � ollars ($) �
Any atteration or deviation from above spec'rfications involving exlra costs
will be executed only upon written orders, signed by corporate officer or
sales agent, and will become an extra charge over and above the estimate.
All job dates contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado, and other necessary insurance.
Iron and calcium deposits and excessive sand/soil infiltration due to
cracked walls not covered in guarantee.
-j' W A'l,�i'/Gi11 Dollars ($) �f" 5a .0 �
��� (Optional Items) Sub-Total ($) Li(�S� .07�
��� � ( 33 %) Down Payment ($) — � Sf3D .�0
ea�ance ($) 3 �� , �
Rite-Way will not be responsible for the presence of or damage caused � PAYMENT TO BE UPON JOB COMPLETION.
by any mold, mildew, fungi, bacteria, yeast, or their spores, scent or OWNER/AGENT TO PAY FOREMAN UPON JOB
byproducts. This exclusion shall apply to removing, cleaning up, treating, COMPLETION UNLESS OTHERWISE NOTE
detoxifying, neutralizing, remediating, or disposing of any such
substance and is applicable whether the substance was present prior to �.5% Per month Intares o an ovaroue a�co�nn
or subsequent to the work performed by Rite-Way.
Representatives signature
Company empbyees are covered by Workmen's Compensation Insurance.
Note: This proposal may withd wn by u with►n 30 days
�C��tCC Q� �lD�7IISAi
accepted. Rite-Way �^►�,....'�•� :.�•^°�
— The above prices, specifications and conditions a sfactory and are hereby
�g is authorized to qerform work as specified. Payment as outlined above. �
Job on or about $-��� � � � 4=- ( v
j �$9wner's signature /'�� + �
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