HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 06/21/2022
FRIDLEY,NIN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000049
ADDRESS : 6401 JACKSON ST NE
PIN: 143024410073
LEGAL DESC:LOTS 16& 17 BLK 4 FLORENCE PARK ADD, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Remodel
CONSTRUCTION TYPE: Remodel
VALUATION: 0
NOTES:PLUMBING FOR REMODEL.INSTALLING THE FOLLOWING FIXTURES: 2 BATH SINK/LAVS, 1 BATHTUB,
1 LAUNDRY TRAY, 1 SHOWER,2 WATER CLOSETS, 1 WATER PIPING, 1 WATER SOFTENER, 1 WASTE& 1 VENT.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 135.00
State Surcharge Fee 1.00
R Plumbing Co,Inc.
9465 ORLEANS LN N TOTAL 136.00
MAPLE GROVE,MN 55369
Payment(s)
Credit-PR22-000049-7882123540�1/z136
OWNER
O'SELL,CASEY R
6401 JACKSON 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.
06/16
Applicant Date /2022
06/21
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 06/21/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000049
ADDRESS : 6401 JACKSON ST NE PERMIT APPLICANT:
PIN: 143024410073 R Plumbing Co,Inc.
LOTS 16&17 BLK 4
LEGAL DESC: FLORENCE PARK ADD, 9465 ORLEANS LN N
SUBJ TO EASE OF REC MAPLE GROVE,MN 55369
PERMIT TYPE : Remodel
PROPERTY TYPE: Remodel
CONSTRUCTION TYPE: Water piping,waste and
vent,water softener
NOTES:PLUMBING FOR REMODEL.INSTALLING THE FOLLOWING FIXTURES: 2 BATH SINK/LAVS, 1 BATHTUB, 1
LAUNDRY TRAY, 1 SHOWER,2 WATER CLOSETS, 1 WATER PIPING, 1 WATER SOFTENER, 1 WASTE& 1 VENT.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
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 Comments
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.