HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/15/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000140
ADDRESS : 550 57TH AVE NE
PIN: 233024420030
LEGAL DESC:DONNAYS LAKEVIEW MANOR ADDN CITY OF FRIDLEY LOT 16 BLK 10 DONNAYS LAKEVIEW
MANOR ADD-SUBJ TO DRAIN&UTIL EASE ALONG S 5 FT-
PERMIT TYPE:Plumbing Residential Permit
PROPERTY TYPE:Water Heater
CONSTRUCTION TYPE:Water Heater
VALUATION: 0
NOTES:
COMBUSTION AIR PER 2020 MN MECH./FUEL GAS CODE
APPLICANT
Description Total Cost
APPLIANCE CONNECTIONS Permit Fee 3.5.00
INC State Surcharge Fee 1.00
12850 LOUISVILLE RD TOTAL 36.00
Shakopee,MN 55379
(952)445-4803 Payment(s)
Credit-PR22-000140- 8038300108iL1h36
OWNER
JOSEPH CHAD T
550 57TH AVE 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.
08/15
Applicant Date /2022
08/15
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/15/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000140
ADDRESS : 550 57TH AVE NE PERMIT APPLICANT:
PIN: 233024420030 APPLIANCE CONNECTIONS INC
DONNAYS LAKEVIEW
MANOR ADDN CITY OF
FRIDLEY LOT 16 BLK 10 12850 LOUISVILLE RD
LEGAL DESC : DONNAYS LAKEVIEW Shakopee,MN 55379
MANOR ADD-SUBJ TO DRAIN
&UTIL EASE ALONG S 5 FT-
PERMIT TYPE : Water Heater (952)445-4803
PROPERTY TYPE: Water Heater
CONSTRUCTION TYPE: Replace one gas water
heater
NOTES:
COMBUSTION AIR PER 2020 MN MECH./FUEL GAS CODE
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:S AM TO 4:30 PM
Inspection type jDate linspector IStatus lComments
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.