HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/08/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000122
ADDRESS : 80 70TH WAY NE
PIN: 103024440055
LEGAL DESC :LOT 8 BLK 4 OSTMANS THIRD ADD,SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Water Heater
CONSTRUCTION TYPE:Water Heater
VALUATION: 0
NOTES: REPLACE WATER HEATER.
COMBUSTION AIR PER CHAPTER 7,2006 I.M.C.AND STATE AMENDMENTS.
MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS
VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS
CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT
Description Total Cost
Permit Fee 35.00
Jitka Sirucek State Surcharge Fee 1.00
80 70th Way NE
Fridley,MN 55433 TOTAL 36.00
(612)806-6924 Payment(s)
Credit-PR22-000122- 8014470321iL1/z36
OWNER
SIRUCEK JITKA
9983 EGRET BLVD NW
COON RAPIDS,MN 55433
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.
08/03
Applicant Date /2022
08/08
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/08/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000122
ADDRESS : 80 70TH WAY NE PERMIT APPLICANT:
PIN: 103024440055 Jitka Sirucek
LOT 8 BLK 4 OSTMANS
LEGAL DESC: TAD ADD,SUBJ TO EASE 80 70th Way NE
OF REC Fridley,MN 55433
PERMIT TYPE : Water Heater (612) 806-6924
PROPERTY TYPE: Water Heater
CONSTRUCTION TYPE: water heater replacement
inspection
NOTES: REPLACE WATER HEATER.
COMBUSTION AIR PER CHAPTER 7,2006 I.M.C.AND STATE AMENDMENTS.
MAKEUP AIR PER 1346.0501 IMC STATE AMENDMENTS
VENTING OF EQUIPMENT PER 1346.5503 IFGC STATE AMENDMENTS
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 Status Comments
Water Heater 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.