HomeMy WebLinkAboutResidential Permit Card CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/26/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000022
ADDRESS : 1180 REGIS LN NE
PIN: 243024340015
LEGAL DESC:LAKELAND HEIGHTS CITY OF FRIDLEY LOT 3 BLK 1 LAKELAND HTS-SUBJ TO GAS LINE EASE
OVER W 20 FT&UTIL EASE AS SHOWN ON PLAT-
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE:Fireplace
CONSTRUCTION TYPE:Fireplace
VALUATION: 0
NOTES:INSTALLED PER MANUFACTURE INSTALLATION INSTRUCTIONS,INSTRUCTIONS MUST BE ON SITE AT
THE TIME OF INSPECTION...
APPLICANT
Description Total Cost
Mechanical Permit Fee 35.00
Hamlin Installations LLC State Surcharge Fee 1.00
1552 97th Avenue
Hammond,WI 54015 TOTAL 36.00
651-775-7562 Payment(s)
Credit-MR22-000022-7818551751iL1/z36
OWNER
KELLY MICHAEL
1180 REGIS LN 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.
05/26
Applicant Date /2022
05/26
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/26/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000022
ADDRESS : 1180 REGIS LN NE PERMIT APPLICANT:
PIN: 243024340015 Hamlin Installations LLC
LAKELAND HEIGHTS CITY OF
FRIDLEY LOT 3 BLK 1
LAKELAND HTS-SUBJ TO GAS 1552 97th Avenue
LEGAL DESC: LINE EASE OVER W 20 FT& Hammond,WI 54015
UTIL EASE AS SHOWN ON
PLAT-
PERMIT TYPE : Fireplace 651-775-7562
PROPERTY TYPE: Fireplace
CONSTRUCTION TYPE: Set&vent wood stove
NOTES:
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:8 AM TO 4:30 PM
Inspection type Date Inspector Status Comments
Gas Piping/Air Test
Heating Final Inspection
Heating Rough In 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.