HomeMy WebLinkAboutResidential Permit Card (3) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/25/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000021
ADDRESS : 550 LAFAYETTE ST NE
PIN: 033024220118
LEGAL DESC:LOTS 56 THRU 59 INCL BLK D RIVER VIEW HEIGHTS
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:RPZBack Flow Preventer
CONSTRUCTION TYPE: RPZ/Back Flow Preventer
VALUATION: 0
NOTES:INSTALLING NEW RPZ.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
PROVIDE TEST TAG,ANNUAL TEST REPORTS AND 5 YEAR REBUILD REPORT TO THE CITY.
APPLICANT
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
Apollo Plumbing Inc
307 Jackson Ave Suite 4 TOTAL 36.00
Elk River,MN 55330
Payment(s)
Credit-PR22-000021 -7815900882i�1/z36
OWNER
GANGL DAVID PAUL
550 LAFAYETTE ST 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.
05/25
Applicant Date /2022
05/25
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/25/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000021
ADDRESS : 555E0 LAFAYETTE ST PERMIT APPLICANT:
PIN: 033024220118 Apollo Plumbing Inc
LOTS 56 THRU 59
LEGAL DESC: INCL BLK D RIVER 307 Jackson Ave Suite 4
VIEW HEIGHTS Elk River,MN 55330
PERMIT TYPE : RPZ/Back Flow
Preventer
PROPERTY TYPE: RPZ/Back Flow
Preventer
CONSTRUCTION TYPE: Install a new RPZ
NOTES:INSTALLING NEW RPZ.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
PROVIDE TEST TAG,ANNUAL TEST REPORTS AND 5 YEAR REBUILD REPORT TO THE CITY.
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:8 AM TO 4:30 PM
Inspection type Date linspector Istatus Comments
Plumbing 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.