HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000151
ADDRESS : 5156 HUGHES AVE NE
PIN: 263024220081
LEGAL DESC: CARLSONS SUMMIT MANOR SOUTH ADDN CITY OF FRIDLEY LOT 14 BLK 7 CARLSONS SUMMIT
MANOR S ADD-SUBJ TO DRAIN&UTIL EASE OVER WLY 10 FT&NLY 5 FT-
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE: Gas Range
CONSTRUCTION TYPE: Gas Range
VALUATION: 0
NOTES:
APPLICANT
Description Total Cost
Mechanical Permit Fee 100.00
PATTON HEATING&AIR State Surcharge Fee 1.00
COND INC.
589 SWAN LAKE LN NW
CEDAR,MN 55011-
TOTAL 101.00
(763)444-8567
Payment(s)
Credit-MR22-000151 - 8056232115 101
OWNER
CHARTRAW,DANIELE K
5156 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.
08/22
Applicant Date /2022
08/22
Bldg lnsp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000151
ADDRESS : 5156 HUGHES AVE NE PERMIT APPLICANT:
PIN : 263024220081 PATTON HEATING&AIR COND INC.
CARLSONS SUMMIT MANOR
SOUTH ADDN CITY OF
FRIDLEY LOT 14 BLK 7
LEGAL DESC: CARLSONS SUMMIT MANOR S 589 SWAN LAKE LN NW
ADD-SUBJ TO DRAIN&UTa, CEDAR,MN 55011-
EASE OVER WLY 10 FT&NLY
5 FT-
PERMIT TYPE : Gas Range (763)444-8567
PROPERTY TYPE: Gas Range
CONSTRUCTION TYPE: Rework gas to range
NOTES:
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 lCornments
Gas Piping/Air Test
Heating 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.