HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000101
ADDRESS : 1621 RICE CREEK RD NE
PIN: 133024410004
LEGAL DESC:W 135 FT OF LOT 6&E 5 FT OF S 230 FT OF LOT 5 AUDITORS SUBDIVISION NO 22 EX THAT PRT
OF SD LOT 6 DESC AS FOL:BEG AT PT ON S LINE 227 FT W OF SE COR THEREOF;TH N PRLL/W E LINE 190 FT,TH
E PRLL/W SD S LINE 34.35 FT,TH S PRLL/W E LINE 190 FT TO S
PERMIT TYPE:Plumbing Residential Permit
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replacement
VALUATION: 0
NOTES:REPLACING FLOOR DRAIN.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 35.00
GOSS PLUMBING INC. State Surcharge Fee 1.00
8105 CEDAR STREET
ROCKFORD,MN 55373- TOTAL 36.00
(612)293-5140 Payment(s)
Credit-PR22-000101 -7974632018iL1/z36
OWNER
I113 PROPERTY MINNESOTA LP
1717 MAIN ST STE 2000
DALLAS,TX 75201
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.
07/22
Applicant Date /2022
07/22
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000101
ADDRESS : 1621 RICE CREEK RD NE PERMIT APPLICANT:
PIN: 133024410004 GOSS PLUMBING INC.
W 135FT OF LOT 6&E5FT OF S
230 FT OF LOT 5 AUDITORS
SUBDIVISION NO 22 EX THAT
PRT OF SD LOT 6 DESC AS FOL:
LEGAL DESC: BEG AT PT ON S LINE 227 FT W 8105 CEDAR STREET
OF SE COR THEREOF;TH N PRLL ROCKFORD,MN 55373-
/W E LINE 190 FT,TH E PRLUW
SD S LINE 34.35 FT,TH S PRLUW
E LINE 190 FT TO S
PERMIT TYPE : Replacement (612)293-5140
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replaced floor drain
NOTES:REPLACING FLOOR DRAIN.
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 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.