HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/21/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000099
ADDRESS : 5908 4TH ST NE
PIN: 233024240110
LEGAL DESC:LOT 5 BLK 1 HOLLY TERRACE, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Water Heater
CONSTRUCTION TYPE:Water Heater
VALUATION: 0
NOTES: REPLACE WATER HEATER.
COMBUSTION AIR PER CHAPTER 7,2006 I.M.C.AND STATE AMENDMENTS.
MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS
VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
CHAMPION PLUMBING
3670 DODD RD SUITE 100 TOTAL 36.00
EAGAN,MN 55123
Payment(s)
Check-- 1456iL1/z36
OWNER
JOHNSON,LAVONNE
5910 4TH 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.
07/21
Applicant Date /2022
07/21
Bldg lnsp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/21/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000099
ADDRESS : 5908 4TH ST NE PERMIT APPLICANT:
PIN: 233024240110 CHAMPION PLUMBING
LOT 5 BLK 1 HOLLY
LEGAL DESC: TERRACE,SUBJ TO EASE 3670 DODD RD SUITE 100
OF REC EAGAN,MN 55123
PERMIT TYPE : Water Heater
PROPERTY TYPE: Water Heater
CONSTRUCTION TYPE: Gas water heater
NOTES:REPLACE WATER HEATER.
COMBUSTION AIR PER CHAPTER 7,2006 I.M.C.AND STATE AMENDMENTS.
MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS
VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS
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 Istatus lcomments
Water Heater Final
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.