HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/13/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000081
ADDRESS : 5891 WEST MOORE LAKE DR NE
PIN: 233024140002
LEGAL DESC:LOT 2 BLK 1 DONNAYS LAKEVIEW MANOR ADD, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Replacement
CONSTRUCTION TYPE:Replacement
VALUATION: 0
NOTES:REPLACING BATHTUB WITH A SHOWER.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
MAD CITY WINDOWS
2621 FAIRVIEW AVE N TOTAL 36.00
ROSEVILLE,MN 55421
Payment(s)
Credit-PR22-000081 -7949362771iL1/z36
OWNER
POHL,MARY ANN
5891 W MOORE LAKE DR
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.
07/13
Applicant Date /2022
07/13
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/13/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000081
ADDRESS : 5891 WEST MOORE PERMIT APPLICANT:
LAKE DR NE
PIN: 233024140002 MAD CITY WINDOWS
LOT 2 BLK 1 DONNAYS
LEGAL DESC : LAKEVIEW MANOR ADD, 2621 FAIRVIEW AVE N
SUBJ TO EASE OF REC ROSEVILLE,MN 55421
PERMIT TYPE : Replacement
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: TUB TO SHOWER
REPLACEMENT
NOTES:REPLACING BATHTUB WITH A SHOWER.
CALL 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 jDate linspector Status 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.