HomeMy WebLinkAboutResidential Permit Card (4) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/02/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000128
ADDRESS : 5097 HUGHES AVE NE
PIN: 263024220058
LEGAL DESC: CARLSONS SUMMIT MANOR SOUTH ADDN CITY OF FRIDLEY LOT 10 BLK 6 CARLSONS SUMMIT
MANOR S ADD-SUBJ TO DRAIN&UTIL EASE OVER ELY 5 FT&5 X 20 FT IN NE COR-
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE:Furnace and Air Conditioning
CONSTRUCTION TYPE:Furnace and Air Conditioning
VALUATION: 0
NOTES: REPLACE FURNACE&AIR CONDITIONER.
AIR CONDITIONERS MAY ONLY BE INSTALLED IN SIDE OR REAR YARDS.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Mechanical Permit Fee 60.00
State Surcharge Fee 1.00
Breeze Heating and Cooling
6332 205th Ct N TOTAL 61.00
Forest Lake,MN 55025
Payment(s)
Credit-MR22-000128- 8003513744iL1/z61
OWNER
ROLEK SCOT T
5097 HUGHES AVE NE
FRIDLEY,MN 55421
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.
08/02
Applicant Date /2022
08/02
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/02/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000128
ADDRESS : 5097 HUGHES AVE NE PERMIT APPLICANT:
PIN: 263024220058 Breeze Heating and Cooling
CARLSONS SUMMIT MANOR
SOUTH ADDN CITY OF
FRIDLEY LOT 10 BLK 6
LEGAL DESC : CARLSONS SUMMIT MANOR S 6332 205th Ct N
ADD-SUBJ TO DRAIN&UTIL, Forest Lake,MN 55025
EASE OVER ELY 5 FT&5 X 20
FT IN NE COR-
PERMIT TYPE : Furnace and Air
Conditioning
PROPERTY TYPE: Furnace and Air
Conditioning
CONSTRUCTION TYPE: Replace existing furnace
and ac
NOTES: REPLACE FURNACE&AIR CONDITIONER.
AIR CONDITIONERS MAY ONLY BE INSTALLED IN SIDE OR REAR YARDS.
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 Date Inspector Status lcomments
Air Conditioning Final
Furnace 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.