HomeMy WebLinkAboutResidential Permit Card (4) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/03/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000131
ADDRESS : 5387 ALTURA RD NE
PIN: 233024330094
LEGAL DESC: CARLSONS SUMMIT MANOR NORTH ADDN CITY OF FRIDLEY LOT 9 BLK 7 CARLSONS SUMMIT
MANOR N ADD-SUBJ TO 5 FT DRAIN&UTIL EASE ALONG ELY LINE-SUBJ TO SEWER EASE OVER ELY 20 FT-
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE:Furnace
CONSTRUCTION TYPE:Furnace
VALUATION: 0
NOTES:REPLACE FURNACE.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Mechanical Permit Fee 35.00
State Surcharge Fee 1.00
AQUARIUS HOME SERVICES
3180 COUNTRY DR TOTAL 36.00
LITTLE CANADA,MN 55117
Payment(s)
Credit-MR22-000131 - 8007046607iL1/z36
OWNER
CLARK,TRAVIS A
5387 ALTURA RD 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
08/03
Bldg Insp 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#MR22-000131
ADDRESS : 5387 ALTURA RD NE PERMIT APPLICANT:
PIN: 233024330094 AQUARIUS HOME SERVICES
CARLSONS SUMMIT MANOR
NORTH ADDN CITY OF
FRIDLEY LOT 9 BLK 7
CARLSONS SUMMIT MANOR N 3180 COUNTRY DR
LEGAL DESC : ADD-SUBJ TO 5 FT DRAIN& LITTLE CANADA,MN 55117
UTIL EASE ALONG ELY LINE-
SUBJ TO SEWER EASE OVER
ELY 20 FT-
PERMIT TYPE : Furnace
PROPERTY TYPE: Furnace
CONSTRUCTION TYPE: Furnace Replacement
NOTES:REPLACE FURNACE.
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
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.