P - 48492�
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Park Name:
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Job Site Address: �Z�� _/��}/Z p��Q �' Zip
Project Valuation: $�� Applicant Is: LJ Owner and Occupant �J Contractor
Additional Permits Are Required For Electrical, Plumbing (sewer & water), and Mechanical (gas)
REQUIRED ITEMS TO BE SUBMITTED WITH APPLICATION:
Accurate Site plan: Note Setbacks
Soils report: a muumum of 2 engineered soil bearing capacit}• te5-tis
Manutacturer's anchoring spec;itications Hvme and Site specitic
Check if items are included
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I hereby appl}- for a manufactured home installation permit and I acknowledge that the infurmation above is complete and accurate; that
the wark will be in canfoimance with the ordinanc;es and codes of the Cin- af Fridle�- and with the Minne�ta Canstruction Codes; that I
urnierstami this is not a permit but only an application fvr a permit and work is not to start without a permit; that the work will be in
accordance with the approveci plan in the case � all work which requires review and approval of plans.
�i��h�re v�A��ii�ani�: Pri�at �i ``�: ' te i��zy�//
P��t # �
Updated 7/1/10
For Office Iise Only
�� MAR � 4 20��,
Issued
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Brand Name: '' 2 Model Name:�(C�
Serial Number: G i'1') �; 3S� 9 T Date of Manufactw�er: 1��/- OS
Construction Label Numbers:
HUD Code tIG/14/76 and newer, State Code 7/Ul/72 to 06/14/76, Pre-cc�de prior to 07/U1/72
Roof Load Zone: TEJ1I i�3 `3 `�1 Heating/Cooling Zune: ,�
Installation: �� af-c,�e,r
Seals/Certificates# Anchoring#
(Anchuring may be required by Municipal Ordinance park rule %r pre cade and State Cude homes. Anchoring is required for
HUD Code humes.)
Instructions Used: Maaufacturers (/ State Chapter 13�
(Homes constructed after June 14, 1976, reyuires manufacturer's instructions be used.)
Foundatiun to State Buildin� Code:�E or NO (circle one)
(May be required by manuiacturer's instructions in a park set or by code adoption or zoning ordinance in a private property
set.)
Foundation T'vne:
Piers below frost depth: Crawl space:
Full depth basement (treated wy► d, concrete btock, poured concrete or toher)
Engineered slab on grade (signed approval by Dapia or MN Engineer) �
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Suniwrt Footings: Tyj,e:S'o�cr�.�e % �csc�c sizE: ��', 2c �! X/�
Soil Conditions: �zC3rsCi PSF Pier Material:CpnC/e�< %j/a ¢.�
s�-
Pier Snacia�: _� Feet c Inches in center (calculations should be submitted for review prior to inspection.) �g �6
' Q
Shims: NJ�terial Used: � �� � �� ✓' '�
Size: 6i� �� (minimum 4" x 5" hardwood)
Cluthes Dryer vented to utside crawls,P ace or skirted area: YES or NO (circk one)
MaterialUsed: �Q�"a� �?o {��,52
Fresh Air intakes to outside crawlspace or skirted area: (ii required for fireplace or furnace or water heater) YES or �
(circie une)
Anchoring Equipment (If applicabie): P
Anchors Used: (manufacturer's model numbers) ��1��G ��� �>G • `�� �'6
Sail test Probe Torque Value '�j 7 S inch pounds
Conditions of Issuance
Add Delete
LJ U Consultation
IJ LJ Final
u u Plan Review
u u Trench
City of Fridley
6431 University Ave NE * Fridley, MN 55432
Phone 763-572-3604 * Fag 753-502-4977
ur,agt�a �roir2oiu
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CIIYOF
FRiDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432
(763) 571-3450 • FAX (763) 571-1287 • TTDlTT'Y (763) 572-3534
March 25, 2011
Administrator
Park Plaza Cooperative
1260 Onondaga Street NE
Fridley, MN 55432
Dear Administrator:
Upon receipt of two applications for manufactured home installation permits, we are reminded of
the setback requirements for manufactured homes. I had discussed these requirements with
someone representing the newly-formed cooperative a few months ago, but am unsure if the
code information has been relayed to the correct authority. Please make note of the setback
requirements listed in the attached R-4 code for manufactured homes.
I will ask the Building Official to attach a copy of this notice to the permits in addition to
sending this original notice to you. If you have any questions about the code requirements, please
call me at 763-572-3599. I will be happy to schedule an appointment if necessary.
Sincerely,
��a�-c.�
Juli Jones �
Planning Manager
SINGLE-WIDE SUPPORT PIER PLAN (TYPICAL)
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I-- PERIMETER PIER SUPPORT @ OPENINGS
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REQUIRED DIMENSIONS �
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Z. '�"- MAXIMUM END PIER SPACING ALLOWED m
REQUIRED DIMENSION —
MANUFACTURER INFORMATION
Name G i (e S
Home Size j � f � �d
Maximum I-Beam Spacing ,�' � 9 ��
Door Openings �
i-Beam Loading PLF � t/?�
Maximum End Support (I-Beam) 2, '
Ground Moisture Control �/Yes No
Grading to Slope AWAY From Home C�
ORIENTATION
SOIL INFORMATION
Classification No. �
Soil Bearing Capacity 2G�'j
FOOTING tNFORMATION
i-Beam � x �/_ x ��
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REQUIRED DIMENSIONS
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MANUFACTURER INFORMATION
Name � ,'1' �.�
Home Size /��c�i
Maximum I-Beam Spacing �'t `�
Maximum Anchor Spacing �� � �� c?
SOIL INFORMATION
Glassification No. 2--
Soil Bearing Capacity 2oop
ANCHORING INFORMATION
Ext. Wall Height � �
Roof Pitch l Z
Height From Ground to
Frame Connection ZC�j �
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ANCHORING INFORMATION Cont.
Anchor Manufacturer ° v ;.
Lateral Anchors Req'd r NU�—
Anchor P.N. �9C� ��
Connector P.N.{�j_7�
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Lonqitudinal Anchors Req'd YES or�
Anchor P.N.
Connector P.N.
No. Per End
* P.N. = Part or Product Number
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