2020-00004 MECHANICAL*2020-00004*
ISSUED: 01/02/2020
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2020-00004
ADDRESS :6390 DELLWOOD DR NE
PIN :133024310065
LEGAL DESC :MOORE LAKE HIGHLANDS 3RD
:LOT 2 BLOCK 1
PERMIT TYPE :HEATING - FIXTURE BASED
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :FURNACE - AIR CONDITIONING
NOTE: CALL FOR FINAL INSPECTION WITHIN 10 DAYS
REPLACE FURNACE AND AC
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
LIEB WILLIAM & KIMBERLY
6390 DELLWOOD DR NE
FRIDLEY, MN 55432
NORTHERN'S ONE HOUR
9431 ALPINE DR
RAMSEY, MN 55303-
(763) 323-7597
Minnesota State License #: HEAT-MB003479
APPLICANT AIR CONDITIONING FEE 25.00
FURNACE FEE 35.00
STATE SURCHARGE, MECH FLAT 1.00
TOTAL 61.00
Payment(s)
61.00CHECK2772500004
1/2/20
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
ISSUED: 01/02/2020
Permit # 2020-00004
PERMIT APPLICANT::ADDRESS 6390 DELLWOOD DR NE
NORTHERN'S ONE HOUR133024310065:PIN
MOORE LAKE HIGHLANDS 3RD:LEGAL DESC 9431 ALPINE DR
LOT 2 BLOCK 1:RAMSEY, MN 55303-
HEATING - FIXTURE BASED:PERMIT TYPE
(763) 323-7597RESIDENTIAL:PROPERTY TYPE
FURNACE - AIR CONDITIONING:CONSTRUCTION TYPE
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTORDATEINSPECTION TYPE COMMENTS
AIR CONDITIONING FINAL
FURNACE 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.