HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/03/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000119
ADDRESS : 99 64TH WAY NE
PIN: 153024410007
LEGAL DESC:THE E 100 FT OF LOTS 17 THRU 19 INCL BLK 12 FRIDLEY PARK,TOG/W W 1/2 OF ADJ VAC ALLEY,
SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE: RPZBack Flow Preventer
CONSTRUCTION TYPE: RPZ/Back Flow Preventer
VALUATION: 0
NOTES: INSTALLING 1"PVB FEBCO 76.5 FOR LAWN SPRINKLER SYSTEM.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
PROVIDE TEST TAG,ANNUAL TEST REPORTS AND 5 YEAR REBUILD REPORT TO THE CITY.BLANK TEST FORM
IS PROVIDED WITH THIS PERMIT.
APPLICANT
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
Cedar Plumbing LLC
20612 MONROE ST NE TOTAL 36.00
Cedar,MN 55011
Payment(s)
Credit-PR22-000119- 8005801336iL1/z36
OWNER
EMERSON TRUSTEE,
JACQUELYN G
99 64TH WAY 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.
08/02
Applicant Date /2022
08/03
Bldg lnsp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/03/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000119
ADDRESS : 99 64TH WAY NE PERMIT APPLICANT:
PIN: 153024410007 Cedar Plumbing LLC
THE E 100 FT OF LOTS 17
THRU 19 INCL BLK 12
LEGAL DESC: FRIDLEY PARK,TOG/w w1/2 20612 MONROE ST NE
OF ADJ VAC ALLEY,SUBJ TO Cedar,MN 55011
EASE OF REC
PERMIT TYPE : RPZ/Back Flow Preventer
PROPERTY TYPE: RPZ/Back Flow Preventer
CONSTRUCTION TYPE: install 1"PVB Febco 765
for lawn sprinkler system
NOTES:INSTALLING 1"PVB FEBCO 765 FOR LAWN SPRINKLER SYSTEM.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
PROVIDE TEST TAG,ANNUAL TEST REPORTS AND 5 YEAR REBUILD REPORT TO THE CITY.BLANK TEST FORM
IS PROVIDED WITH THIS PERMIT.
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:S AM TO 4:30 PM
Inspection type Date linspector Istatus 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.