012-00199 REMODEL
CITY OF FRIDLEY
7071UNIVERSITY AVENUE NE
FRIDLEY, MN55432-
//
ISSUED:02212012
(763)572-3604FAX: (763)502-4977
Permit #2012-00199
4624 2 1/2 ST NE
ADDRESS:
PIN:263024330037
LEGAL DESC:UNAVAILABLE
:LOT 1 BLOCK 1
PERMIT TYPE:PLUMBING - FIXTURE BASED
PROPERTY TYPE:RESIDENTIAL
CONSTRUCTION TYPE:REMODEL
NOTE: REPLACE TUB, TUB FAUCET, TOILET AND LAV FAUCET
PLUMBING FIXTURE FEES35.00
APPLICANT
STATE SURCHARGE, PLBG FLAT5.00
ALL PRIDE PLUMBING
TOTAL 40.00
9331 184TH AVE NE
Payment(s)
FOREST LAKE, MN 55025-
CHECK429940.00
(651) 775-0545
Minnesota State License #: PC644027
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 #2012-00199
4624 2 1/2 ST NE
:
ADDRESSPERMIT APPLICANT:
PIN:263024330037ALL PRIDE PLUMBING
LEGAL DESC:UNAVAILABLE9331 184TH AVE NE
:LOT 1 BLOCK 1FOREST LAKE, MN 55025-
PERMIT TYPE:PLUMBING - FIXTURE BASED
PROPERTY TYPE:RESIDENTIAL(651) 775-0545
CONSTRUCTION TYPE:REMODEL
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM
INSPECTION TYPEDATEINSPECTORCOMMENTS
PLUMBING ROUGH-IN'S03/13/12PDAVE
PLUMBING FINAL03/13/12PDAVE
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.