HomeMy WebLinkAboutResidential Permit Card CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 06/15/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000048
ADDRESS : 151 CHRISTENSON CT NE
PIN: 143024320315
LEGAL DESC:LOT 55 BLK 1 CIC NO 23 CHRISTENSON CROSSING,TOG/W COMMONELEMENTS,SUBJ TO EASE
OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE: RPZBack Flow Preventer
CONSTRUCTION TYPE: RPZ/Back Flow Preventer
VALUATION: 0
NOTES:RPZ REBUILD 2"WILKINS 975XL SERIAL#3401837
CALL FOR FINAL INSPECTION
PROVIDE TEST TAG,ANNUAL TEST REPORTS AND 5 YEAR REBUILD REPORT TO THE CITY. (SEE ATTACHED
FORM)
APPLICANT
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
Interstate Testing,LLC
P.O.Box 55 TOTAL 36.00
Anoka,MN 55303
Payment(s)
Credit-PR22-000048-7876278943iL1/z36
OWNER
FERRIS,LANA
151 CHRISTENSON CT 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.
06/15
Applicant Date /2022
06/15
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 06/15/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000048
ADDRESS : 15 CHRISTENSON CT PERMIT APPLICANT:
PIN: 143024320315 Interstate Testing,LLC
LOT 55 BLK 1 CIC NO 23
CHRISTENSON CROSSING, P.O.Box 55
LEGAL DESC: TOGiw COMMONELEMENTS, Anoka,MN 55303
SUBJ TO EASE OF REC
PERMIT TYPE : RPZ/Back Flow Preventer
PROPERTY TYPE: RPZ/Back Flow Preventer
RPZ REBUILD 2"
CONSTRUCTION TYPE: WILKINS 975XL
SERIAL#3401837
NOTES:RPZ REBUILD 2"WILKINS 975XL SERIAL#3401837
CALL FOR FINAL INSPECTION
PROVIDE TEST TAG,ANNUAL TEST REPORTS AND 5 YEAR REBUILD REPORT TO THE CITY. (SEE ATTACHED
FORM)
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:S AM TO 4:30 PM
Inspection type jDate linspector IStatus lComments
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.