HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/29/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000111
ADDRESS : 5871 WEST MOORE LAKE DR NE
PIN: 233024140004
LEGAL DESC:LOT 4 BLK 1 DONNAYS LAKEVIEW MANOR ADD, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Remodel
CONSTRUCTION TYPE: Remodel
VALUATION: 0
NOTES:PLUMBING FOR BASEMENT BATH&LAUNDRY.INSTALLING THE FOLLOWING FIXTURES: 1 BATH SINK
/LAV, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 SHOWER& 1 WATER CLOSET.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 50.00
Janecky Plumbing Service Inc State Surcharge Fee 1.00
720 pontiac place
mendota heights,MN 55120 TOTAL 51.00
(651)454-9297 Payment(s)
Credit-PR22-000111 -7992546753?51
OWNER
KISNER, STEVEN PAUL
5871W MOORE LAKE DR 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.
07/28
Applicant Date /2022
07/29
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/29/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000111
ADDRESS : 5871 WEST MOORE PERMIT APPLICANT:
LAKE DR NE
PIN: 233024140004 Janecky Plumbing Service Inc
LOT 4 BLK 1 DONNAYS
LEGAL DESC: LAKEVIEW MANOR ADD, 720 pontiac place
SUBJ TO EASE OF REC mendota heights,MN 55120
PERMIT TYPE : Remodel (651)454-9297
PROPERTY TYPE: Remodel
replace fixtures in
CONSTRUCTION TYPE: basement bath and
laundry
NOTES:PLUMBING FOR BASEMENT BATH&LAUNDRY.INSTALLING THE FOLLOWING FIXTURES: 1 BATH SINK
/LAV, 1 FLOOR DRAIN, 1 LAUNDRY TRAY, 1 SHOWER& 1 WATER CLOSET.
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.