Meter Swap City of Fridiey Water Meter Information
" C/tLL(763j 572-3604 ,
TO SCHEDULE PINAL INSPECTION
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Install Address ' �— �j � r
Type: C7Residentia! mmercial Olrrigation
Cost of Meter �S�.�-d.�
Tax (,��,'.c�: Paid/Initials
Total 1<<�%:�-,1• � �f
Owner � ���v' �1 N�
Installer 1/�-'�lC.T t-� ��,;�J,�.A" !%;;.r z.,�3�.v�
Inspected
Meter# ��'k1 ��(�Size � �� Cl
ERT# �U�(�?��� .Dials $` ���u�0�
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Inspected Reading
inspected By
Oate
Notes
Whi�e-Customer Cartary-Utility Billing .
MaMlaTag:Secure to meter ur�til final inspection,
inspectorto retum to UB
. , � , ' ' CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432- * z o 1 6 — 0 z 4 6 4 *
(763) 572-3604 FAX: (763) 502-4977 ISSUED: �0�20/2016
ADDRESS : 5300 4TH ST NE � C��
PIN : 233024340035 � ��D
LEGAL DESC : UNAVAILABLE
: LOT 1 BLOCK 1
PERMIT TYPE : PLUMBING-LABOR BASED
PROPERTY TYPE : COMMERCIAL
CONSTRUCTION TYPE : NEW INSTALLATION �
VALUATION : $ 140,000.00
NOTE: NEW CONSTRUCTION-NEW INSTALLATION `
TO INCLUDE(1)WASH MACHINE BOX,(1)DISHWASHER,(5)FAUCETS,(3)FLOOR DRAINS,(1)KITCHEN SINK,(3)LAiINDRY
TRAY,(31)LAVATORY,(28)S�IOWER,(1)SLOP SINK,(1)WATER HEATER,(1)WATER I�TER AND(31)WATER CLOSETS
APPLICANT PLUMBING PERMIT FEE,COMM 1,750.00
NORTH ANOKA PLUMBING INC STATE SURCHARGE,PLBG VALUE 70.00
22590 RUM RIVER BLVD TOTAL 1,820.00
ST FRANCIS,MN 55070 Payment(s)
(763)753-3373 CHECK 2502 250� 02464 1,820.00
Minnesota State License#:PLBG-PC642884
OWNER
GEN ONE,LLC
5300 4TH ST NE
FRIDLEY,MN 55421-
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AGREEMENT AND SWORN STATEMENT '��
This permit becomes null and void if work or construction authorized
is not commenced witin 180 days or if construction or work is
suspended or abandoned for a period of 180 days at any time after
work is commenced.
I hereby certify that I have read and examined this application
and know the same to be true and correct. All provisions of laws
and ordinances governing this rype of work will be complied with ���— ^-
whether specified herein or not. The g�anting of a permit does not c O ��q�
presume to give authority to violate or cancel the provisions of any
other state or locai law regulating construction or the perforrnance of S� � ��
construction. �
���
Applicant Date
Bldg Insp Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� ^ , � � � � CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977 ISSUED: ioi2onoi6
ADDRESS : 5300 4TH ST NE PERMIT APPLICANT:
PIN : 233024340035 NORTH ANOKA PLUMBING INC
LEGAL DESC : UNAVAILABLE 22590 RUM RIVER BLVD
: LOT 1 BLOCK 1 , ST FRANCIS,MN 55070
PERMIT TYPE : PLUMBING-LABOR BASED
PROPERTY TYPE : COMMERCIAL (763)753-3373
CONSTRUCTION TYPE : NEW INSTALLATION
VALUATION : $ 140,000.00
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTION TYPE DATE INSPECTOR COMMENTS
5 LBS ON HALF OF THE UNDER GROUND
, PLUMBING ROUGH-IN'S 04/10/17 P TONY
' PLUMBING ROUGH-IN'S
PLUMBING ROUGH-IN'S
PLUMBING ROUGH-IN'S
PLUMBING FINAL
INSPECTION COMMENTS:
IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIEp UNTIL ALL
WORK HAS BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY TI-iE BUILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
STORM WATER CALCULATOR: 07/19/17
2�17
Sf@p ADDRESS: 494 Northco Dr NE Multiple see below
.33 Acres for Residential
1. Calc.#of acres in parcel 20,473 Square Feet= 0.47 Acres
Bill:
2. Multiply#acres by REF $26.80 = $12.60
Storm Water Char e
3. Multiply Step#2 X � . if C&I = � $62.98 "
- +
Muftiply Step#2 X 2.50 if 3 or more unit a t.,church or ublic property=
$31.49
Multiply Step#2 X 1.25 if schoo!_ $15.74
Multiply Step#2 X 0.75 if park= $9.45
Multiply Step#2 X 0.25 if cemetary $3.15
REF=Residential Equivalency Factor
,
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Request Number: 16311
Public Works Division
Service Request
Problem Address: 5300 4th St Requested By: Sandi Hara
Department: WA1ER Address: No address provided
Problem/Isaue: READ ME1ER Phone Number:
Scheduled Date: Schednled Time:
ACITON NEEDED:Read meter.ERT#70488539
Created by: Wendy Hiatt Date Created: 2017-07-13
ACIION TAI�N:
_....._._...._............_..................................._.__ __......_.........._.....____._.w....__._.....___.__......................_..._......_.._._ �._ � ._
_..____.__._......._.._._...................2.�� -_.�3..��°.._..__._.._._._......._.........__._._......__._ ._ . .�_ .____..
Status: In Progress Snbmitter Has Been �, .
Cout�cted
Date Compieted: Completed by:
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Request Number: 12241
Public works Division
Service Request
Problem Address: 5300 4th St Requested By: John Knuth w/Service Fire
Department: WAZER Addresa: No address�xovided
Problero/Issue: FIAW 1EST Phone Number: 763-226-5817
Scheduled Date: 2016-I 1-17 Schednled Tlme: 10:00:00
-(X � l`r�' c�
ACTION NEEDED:Flow test.Email results to wendy.hiatt@fridleymn.gov
Created by: Wendy Hiatt Date Created: 2016-11-16
ACTION TAI�N:
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Status: In Progress Sabmitter Has Been r.
Contaeted
Dxte Completed: Completed by:
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