2020-00020 WATER HEATER*2020-00020*
ISSUED: 01/06/2020
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2020-00020
ADDRESS :5653 WEST BAVARIAN PASS NE
PIN :243024410247
LEGAL DESC :INNSBRUCK VILLAGES 2ND ADD
:LOT 3 BLOCK 2
PERMIT TYPE :PLUMBING - FIXTURE BASED
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :WATER HEATER
NOTE: CALL FOR FINAL INSPECTION
COMBUSTION AIR PER CHAPTER 7, 2006 I.M.C. AND STATE AMENDMENTS.
MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS
VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS
CALL FOR FINAL INSPECTION WITHIN 10 DAYS
REPLACE ONE GAS WATER HEATER
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
KERZMAN, BENJAMIN
5653 W BAVARIAN PASS NE
FRIDLEY, MN 55432-
CHAMPION PLUMBING
3670 DODD RD
EAGAN, MN 55123-
(651) 365-1340
Minnesota State License #:
PLBG-PC000308,HEAT-MB005365
APPLICANT WATER HEATER FEE 35.00
STATE SURCHARGE, PLBG FLAT 1.00
TOTAL 36.00
Payment(s)
36.00CHECK118300020
1/6/20
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
ISSUED: 01/06/2020
Permit # 2020-00020
PERMIT APPLICANT::ADDRESS 5653 WEST BAVARIAN PASS NE
CHAMPION PLUMBING243024410247:PIN
INNSBRUCK VILLAGES 2ND ADD:LEGAL DESC 3670 DODD RD
LOT 3 BLOCK 2:EAGAN, MN 55123-
PLUMBING - FIXTURE BASED:PERMIT TYPE
(651) 365-1340RESIDENTIAL:PROPERTY TYPE
WATER HEATER:CONSTRUCTION TYPE
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTORDATEINSPECTION TYPE COMMENTS
PLUMBING 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.