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2019-02117 MECHANICAL*2019-02117* ISSUED: 10/14/2019 CITY OF FRIDLEY 7071 UNIVERSITY AVENUE NE FRIDLEY, MN 55432- (763) 572-3604 FAX: (763) 502-4977 Permit # 2019-02117 ADDRESS :129 HORIZON CIR NE PIN :233024330034 LEGAL DESC :CARLSONS SUMMIT MAN NO ADD :LOT 4 BLOCK 4 PERMIT TYPE :HEATING - FIXTURE BASED PROPERTY TYPE :RESIDENTIAL CONSTRUCTION TYPE :FIREPLACE NOTE: INSTALLING GAS FIREPLACE 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant____________________________Date________ Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AGREEMENT AND SWORN STATEMENT OWNER DZUBAK JOSEPH JAMES & MARY 129 HORIZON CIR NE FRIDLEY, MN 55421 A.M. CONTRACTING LLC 3870 143RD AVE NW ANDOVER, MN 55304- (651) 352-3855 Minnesota State License #: GAS-MB761130,HVAC-IR742102 APPLICANT FIREPLACE GAS INSERT 35.00 STATE SURCHARGE, MECH FLAT 1.00 TOTAL 36.00 Payment(s) 36.00CREDIT CARD 9055 02117 CITY OF FRIDLEY 7071 UNIVERSITY AVENUE NE FRIDLEY, MN 55432- (763) 572-3604 FAX: (763) 502-4977 ISSUED: 10/14/2019 Permit # 2019-02117 PERMIT APPLICANT::ADDRESS 129 HORIZON CIR NE A.M. CONTRACTING LLC233024330034:PIN CARLSONS SUMMIT MAN NO ADD:LEGAL DESC 3870 143RD AVE NW LOT 4 BLOCK 4:ANDOVER, MN 55304- HEATING - FIXTURE BASED:PERMIT TYPE (651) 352-3855RESIDENTIAL:PROPERTY TYPE FIREPLACE:CONSTRUCTION TYPE BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM INSPECTORDATEINSPECTION TYPE COMMENTS GAS PIPING/AIR TEST FINAL INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.