P - 48262� � � � l'C� ��( ��
City of Fridley
� Manufactured Home/ Accessory Installation
����,. Permit Appiication
�
Park Name: �� ,� )c � � c� 2 C.� � � c, � t� .�
Job Site Address: / I�� Q� pn C, c, ��. .� 7� P�°� n�. Zip .�.`> y� a,,.
cy
Project Valuation: $� � OGU �� Applicant is: ❑ Owner a:nd Occupant i�''Contractor
Pro e awn�r
Name c.� r 1� P 1 G 2 c� �� �ct � C� �
Address / o� �, � � r�rh n r1 - � c� �. , .� _ Unit #
City . Q ; \ y . - ' State �I r7 7ip .5� �,/.3�
Phone (+��',3) y(��- /1/ 9 --
Contractar :
Name�
Address
City �
C�-Residentiat
� Commercial
❑ Industrial
0 Institutional
❑ Public
��/y� �e�. l,�� • �
� .s.
• 3/ f�,� License #�
�'3'1'�� of SiructurF
�Pri.ncipal Bldg
C7 Accessory Bldg
Other
Installer's Name � ,1 c.= L..�
.v •
State 1i'�h Zip ..g",�%�?
1'OQ 3'%Y Email.�e.hvl�z-r�rlSuc►:cp l�cy� a
c�f Work FEE�
❑ New Bldg Permit Fee: 100.00
❑ Existing Bldg State Surcharge: 5.00
❑ Repair / Replace
TOTAL DUE: 105.00
Types of Ii4mes(s) (check atl that aPP�Y1
Single Wide � Daubie Wide ❑
Additioual Permits Are Required For Electrical, Plambing (sewer & water), and Mechauical (�as)
REQUIREDITEMS TO BE SLJBMiTTED WITN APPLICATION: Check if items are included
Accurate Site plan: Note Setbacks _ �''"r
Soils report: a minimum af 2 engineered soil bearing capacity tests L/J (� }/ � _�_
Manufacturer's anchoring spec:ifications Hame and Site specific +.-'
I hereby app}y for a manufactured home instailation permit and I acknowledge that the information above is comptete and accurate; that
the work will be in conformance with tt►e ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I
understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in
accordance with the approved plan in tihe case of atl work which reyuires review and approva) of pl�ns.
(+:�..�+,..,.,, ..F K �...,1;...�: �...+�. / . w _ � � Prin.t�� Cionsi.#nr[±= rI_ Jf : rilv � @�C�/� �. � � " ��% .• //
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Perrnit #
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Updated
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For O�ce Use Only
MANUFA
Brand Name: •';°��d s c� � Model Name: F�.' !y7 F� IZ i� c�r a'"t ec
Serial Numbcr: � V _5"�I � :� Date of ManufaCturer: / % — / •- d ,`i '
Construction Label Numbers: JV 1 A� / 3 7�` ���
HUD Code 06/14/76 aud newer, State Code 7J01/72 ta OG/14I7fi, Pre-cade prior to 07/Oil72
Roof Loxd Zone:� Heating/Ce�oling 2nne: „�i
��5�8��14II'
Seals/Ccrtitieate� Anchoring#
(Aachoriag may be required by Mnn€cipal Ordinance park rule far pre code and State C�e dam+es. Anc6oring is reqaired for
HTTD Code homes.)
��tructions Used: Manufacturers 1.%� State Chapfer 1350
(Homes constructed afier Jnne 14, 1976, requires manufacturer's instructions be userl.)
Foundation to State Buiidine Code: YES or NO (c%rcte one)
(May he required by manufacturer's instructtons in a park set or by code adoptioa or zc�aing urdinance in a private property
se�.)
Fou�da "�ioq Trt�e:
Piers below frost depth: Crawi space;
Fnli depxh baseme t(traated wood, concrete block, paared cancrete or ta6erj
�fC�rctc�e ���rs can F�r��tsc,ra�c" lo�.
Engiueered slab on grade (signed approvai by Dapia or MN Lngineer}
Sunaort FootiaES: Type: Cca �r c reT s�e: y� X/�' `X /l' �
Soil Coa itions: ��04 PSF Pier Material: � 7C g 7� /(� "" C C.• �"�fG t�. tsucx�C.'� �t- WP� r.� �.
PiFT SpB�;[HL: ,�_ Feet �_ Inches in center (cafculatians sbould be aabmitted for review prior to inspection.)
s�im$; Ma��Ai u�. �-1 cx rc� wc�� ����, �
Size: 'y, Z(� t� (misimum 4" x 6" hardwood)
Ctathes Dryer vented to outside crawispace or �kirked area: ES r NO (circle one)
MateriaF Used•
Fresh Air intakes to outside crawtspace or skiMed area: (if required for firepiace or ti�rnace or water heater) YES or �
(circle onc)
Anci►oring Equipment (If applicable): �
Anchors Used; (manufactarer's model nnmbers) � � �� �
Contlitions of Issuance
Updated 7/QI/201Q
Add Delete
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Cc�nsuttation
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Plan Review
Trench
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City of Fridley
6431 University Ave :NE * Fridley, MN 55432
Phone 763-572-3604 * Fax 763-502-4977
()FFICE MEMORANDUM � ��������� ���'����"��`�� ��
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A trusted resource utilized by
employees and employers ...
Manufactured Home Bulletin #44
DATE: October 17, 2011 (revised from August 1, 2011)
TO: Licensed Manufactured Home Instafiers, Dealers, Manufacturers and
Building Officials
FROM. Construction Codes & Licensing Division
PHONE: 651-284-5092
SUBJECT: 2011 Session law changes affecting manufactured home instaUation
2011 session law changes to Minnesota Statutes (MS) 327.32 and 327.33 will allow for
changes in the Minnesota installation program, currentfy approved by HUD, in compliance
with HUD Code of Federal Regulations (CFR) 3285 and 3286. The followring changes
should be used in conjunction with ather existing laws and rules for manufactured home
installation inspection as outlined in Bulletin #43 of March 11, 2011.
l. Used manufactured homes (single and multi-section) may be installed without frost
depth footings even if frost depth footings were required in the manufacturer's
installation manual. A"used manufactured home" defined in MS 327.31, Subd. 21.
means a home being offered for sale not dess than 24 month� after the first purchaser
took legal ownership or possessian vf the home.
• The purchaser af the used home must sign the form indicating they have made the
choice not to have the home installed in accordance with the manufacturer's
approved installation proeedures or another frpst depth footing design.
• The setler must explain what it means to not install the home an frost depth
footings and possible effects of frost movement on the manufactured home.
• If the exemption is used, the remaining manufacturer's instructions must still be
followed including the grading under and away fram the home. When top vr sub-
sails located beneath the hame are campressible or shifting (organics or high clay
content) they sha11 be removed ta a depth and width sufficient to assure stable
moisture content and shall not be used as fill.
2. Municipalities which have adopted the Minnesata State Building Cade may provide
installation inspectian and plan review services to non-code areas af the state for both
new HUD labeled homes and used manuf�ctured/mobile homes l�y their Minnesota
certified bu�i�lding official.
• Minnesata certi�ed building officials reviewing plans for installation of homes ox
"aiternate foundation systems" are required to review the plans in accordance with
the ane of the following;
a. Manufacturer's DAPIA approved instaliation manual instructions;
b. Design by a licensed Minnesota engineer or architect;
c. HUD CFR 3285; or
d. Minnssota State Building and 2006 IRC requirements.
Note: If a used home as defined in 327.32 Subd.le is being reinstalled without a
frost-pratected foundation in accordance with a signed notice requirement, it shall
be reviewed in accordance with Minnesota Rules chapter 1350, the standards
referenced therein (including the manufacture's installation instructions) and the
notice requirements of 327.32 Subd. l f.
• Plans for the installation of an alternative frost-free design slab as permitted in
327.32 Subd. ib, sha11 be reviewed, and if no corrections are necessary, a permit is
required ta be issued within 10 days of being received by the approving authority.
• Munieipal building officials reviewing plans or inspecting instailations outside
their municipatity far jurisdictions which have not adopted the MSBC may charge
fees only in accordance with fees adopted by the municipality per MSBC
1300.0160. Third party inspectors may charge their usual and normal charges for
review of plans and inspections.
�s is currently required in the ap�roved Minnesota prc�gram, dealers and installers of
record (iicensed installer or homeowner) must submit a Notice af Sale (NOS)
indicating whcre the hame wiJl be located for occupancy and the approxirnate date of
installation.
• When submitting the NOS, indicate the name of the installation plan reviewer and
inspector if other than CCLD staff. CCLD sfiaff will track and monitor various
installation inspections and plan reviews thcoughout the state.
• Upan comptetion of the installatian and inspection, a licensed installer shall place
a Minnesota installation label and complete and retur» an installation certificate
for every home installation in Minnesota.
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FRt3ST DEPTH PIER SECTION VIEW
""ZDBOARD FORMIN�'' T' ""�
DEPTH
"BELOW
„ GRADE
SOIL CLASSIFICATION �
SOIL BEARING CAPACITY /� �U PSF
FOOTING AREA ,�j (d SQ. IN,
S�ILS TOTAL L�AD CAPACfTY o��'�Q
PSI CONCRETE � �°�
AL.TERNATE
"BELLED"
FOOTING
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G:BGStWORDlms/CCLD Installation Permit Application Padcet/Below Frost and Frame PierSedion Orawings 04-02-09
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TOTAL HEIGHT
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FRAME HEIGHT
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CAP MATERIAL
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Frost a�d Frame Pier Sectio� Drawir�gs 04-02-09
SINGLE-WIDE SUPPORT PIER PLAN (TYPICAL)
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t—. PERiMETER PIER SUPPORT @ OPEWINGS
REQUIRED DIM£NSIQNS ue
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�_' �_" - MAXlMUM END P!€R SPAClNG ALLOWED _
REC�u��eo o�r��asia�
MANUFACTURER tNFORMATION
Name Pc� � r. c� ��--1 c� rn e
Home Size � '� ' X (�, (� �
Maximum I-Beam Spacing 17 � T
Door Openings �� p na f� c� ��"� ��.e
1-Beam L.oading PLF � �+�
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Maximum End Support (i-Bearn) Je�''
Ground Moisture Control�Yes Na
Grading to Slope AWAY From Home��
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OF2IENT/�1TION
SOIL INFQRMATION
Classification No. �
Soii BeaFing Capacity /� c�
fOOTtNG INFORMATION
I-Beam �( x 1� x �
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SINGLE-WIDE ANCHURING PLAN
(TYPICAL)
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REQUIRED DIMENSIONS
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REQUIRED DlMENSION
MANUFACTURERINFORMATION
Name c:,,. � t 30 � 1-1 ca r►� Ps
Home Size � y X .,�'
Maximum I-Beam Spacing 1 a �' r-
Maximum Anchor Spacing / a!° T-
S41L. INFt?RMATION
Classification No. -3
Soil Bearing Capaci#y !� ��
ANCHORING INFORMATION
Ext. Wall Height �` ��%"�
Roaf Pitch 3 // �..
He'ight From Ground to ��
Frame Connectian �
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ANCHORING INF�RMATION Cont.
Anchor Manufacturer'% � �a� �'�e�°�csr,�
Lateral Anchors Rea'd E r NO,�q�gi
Anchor P.N. „�` 9/Q? �3 �/,� i n c�
Connector P.N, � "7 .� ll � c�c
Longitudinal Anchors Rea'd YES or O
Anchor P.N.
Connec#or P.N.
No. Per End
* P.N. = Part or Product Number
G:lBCSMIORD/ms/CCLD InstaNation Permft Application PackeUBupport-Anchoring Plans 04-02-09