HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/23/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000012
ADDRESS : 6348 STARLITE BLVD NE
PIN: 153024410063
LEGAL DESC:LOT 5 BLK 4 SYLVAN HILLS PLAT 3,SUBJ TO EASE OF REC
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE: Gas Piping
CONSTRUCTION TYPE: Gas Piping
VALUATION: 0
NOTES:INSTALLING GAS LINE TO OUTDOOR POOL HEATER-FROM METER ON OUTSIDE OF HOUSE.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Mechanical Permit Fee 35.00
METRO GAS INSTALLERS State Surcharge Fee 1.00
685 141ST LANE NW
ANDOVER,MN 55304- TOTAL 36.00
(612)868-9027 Payment(s)
Credit-MR22-000012-7809762235iL1/z36
OWNER
DEAN, STEPHEN L
6348 STARLITE BLVD NE
FRIDLEY,MN 55432
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.
05/19
Applicant Date /2022
05/23
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/23/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000012
ADDRESS : 6348 STARLITE BLVD PERMIT APPLICANT:
NE
PIN: 153024410063 METRO GAS INSTALLERS
LOT 5 BLK 4 SYLVAN
LEGAL DESC : HILLS PLAT 3,SUBJ 685 141ST LANE NW
TO EASE OF REC ANDOVER,MN 55304-
PERMIT TYPE : Gas Piping (612)868-9027
PROPERTY TYPE: Gas Piping
Gas line to outdoor pool
CONSTRUCTION TYPE: heater-from meter on
outside of house
NOTES: INSTALLING GAS LINE TO OUTDOOR POOL HEATER-FROM METER ON OUTSIDE OF HOUSE.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:8 AM TO 4:30 PM
Inspection type jDate Inspector Status lcomments
Gas Piping/Air Test
Heating Final Inspection
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.