HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/06/2022
FRIDLEY,NIN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000072
ADDRESS :450 57TH PL NE
PIN: 233024240094
LEGAL DESC:LOTS 9& 10 BLK 5 CITY VIEW, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE: Valve Replacement
CONSTRUCTION TYPE: Valve Replacement
VALUATION: 0
NOTES: REPLACING SHUT OFF VALVE.
CALL 763-572-3566(PUBLIC WORKS)TO SCHEDULE SHUT OFF.
CALL 763-572-3604 FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 35.00
Hero PHC State Surcharge Fee 1.00
10900 Hampshire Ave S# 120
Bloomington,MN 55438 TOTAL 36.00
612-827-4674 Payment(s)
Credit-PR22-000072-7931080375iL1/z36
OWNER
JOSWIAK SANDRA M
450 57TH PL 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.
07/06
Applicant Date /2022
07/06
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/06/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000072
ADDRESS : 450 57TH PL NE PERMIT APPLICANT:
PIN: 233024240094 Hero PHC
LOTS 9&10 BLK 5 CITY
VIEW,SUBJ TO EASE OF 10900 Hampshire Ave S# 120
LEGAL DESC: REc Bloomington,MN 55438
PERMIT TYPE : Valve Replacement 612-827-4674
PROPERTY TYPE: Valve Replacement
CONSTRUCTION TYPE: replace shut off after
meter
NOTES:REPLACING SHUT OFF VALVE.
CALL 763-572-3566(PUBLIC WORKS)TO SCHEDULE SHUT OFF.
CALL 763-572-3604 FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
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.