HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/26/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000025
ADDRESS : 6380 JEFFERSON ST NE
PIN: 143024420048
LEGAL DESC:LOT 2 BLK 4 CHRISTIE ADD, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Remodel
CONSTRUCTION TYPE: Remodel
VALUATION: 0
NOTES: SHOWER VALVE SHALL BE ASSE 1016,SHOWER DRAIN SHALL BE NO LESS THAN 2",AND SHOWER
TRAP ARM NO LONGER THAN 60"IN LENGTH
APPLICANT
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
Minnesota Rusco
5010 HWY 169 N TOTAL 36.00
New Hope,MN 55428
Payment(s)
Credit-PR22-000025-7818572498iL1/z36
OWNER
BEDNARCZYK JOHN R
6380 JEFFERSON 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.
05/26
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#PR22-000025
ADDRESS : 6380 JEFFERSON ST NE PERMIT APPLICANT:
PIN: 143024420048 Minnesota Rusco
LOT 2 BLK 4 MUSTIE ADD, 5010 HWY 169 N
LEGAL DESC: SUBJ TO EASE OF REC New Hope,MN 55428
PERMIT TYPE : Remodel
PROPERTY TYPE: Remodel
Direct replacement of
CONSTRUCTION TYPE: existing shower wet
space,wall surround,and
plumbing fixtures.
NOTES:
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:S AM TO 4:30 PM
Inspection type Date Inspector Status 1cornments
Plumbing Rough In
Inspection
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.