2012-00198 REMODEL
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
FRIDLEY, MN55432-
//
ISSUED:02212012
(763)572-3604FAX: (763)502-4977
Permit #2012-00198
4624 2 1/2 ST NE
ADDRESS:
PIN:263024330037
LEGAL DESC:UNAVAILABLE
:LOT 1 BLOCK 1
PERMIT TYPE:BUILDING
PROPERTY TYPE:RESIDENTIAL
CONSTRUCTION TYPE:REMODEL
VALUATION:$10,000.00
NOTE: BATH REMODEL - FINISH ONLY. 42 SQ FT
BUILDING PERMIT FEE181.25
APPLICANT
PLAN CHECK FEE117.81
NORWOOD CONSTRUCTION
STATE SURCHARGE, BLDG VALUE5.00
13636 DUNKIRK ST NE
FIRE SURCHARGE10.00
HAM LAKE, MN 55304-
LICENSE SURCHARGE5.00
(763) 757-5029
TOTAL
319.06
Minnesota State License #: BC457079
Payment(s)
CHECK3362319.06
OWNER
VAN NELSON, RICHARD
4624 2 1/2 ST NE
FRIDLEY, MN 55421-
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 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.
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
ISSUED:02/21/2012
FRIDLEY, MN55432-
(763)572-3604FAX: (763)502-4977
Permit #2012-00198
4624 2 1/2 ST NE
:
ADDRESSPERMIT APPLICANT:
PIN:263024330037NORWOOD CONSTRUCTION
LEGAL DESC:UNAVAILABLE13636 DUNKIRK ST NE
:LOT 1 BLOCK 1HAM LAKE, MN 55304-
PERMIT TYPE:BUILDING
PROPERTY TYPE:RESIDENTIAL(763) 757-5029
CONSTRUCTION TYPE:REMODEL
:
VALUATION$10,000.00
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM
INSPECTION TYPEDATEINSPECTORCOMMENTS
ELECTRICAL ROUGH-IN02/14/12PBOBC
PLUMBING ROUGH-IN'S02/24/12PRONJ
FRAMING02/24/12PRONJ
INSULATION02/24/12PRONJ
ELECTRICAL FINAL03/14/12PBOBC
PLUMBING FINAL03/13/12PDAVE
CARBON MONOXIDE DETECTOR03/14/12PDAVE
SMOKE DETECTORS03/14/12PDAVE
FINAL03/14/12PDAVE
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.