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#PR22-000149
ADDRESS : 5572 FILLMORE ST NE
PIN: 243024320072
LEGAL DESC:THE N 43.50 FT OF LOT 2 BLK 1,IWEN TERRACE(AS MEAS ALG THE E&W LINES THERE-OF)
SUBJ TO EASE OF REC
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
Permit Fee 3.5.00
Elizabeth Dipprey State Surcharge Fee 1.00
26069 2nd St
Zimmerman,MN 55398 TOTAL 36.00
612-221-5812 Payment(s)
Credit-PR22-000149- 8056317419iL1/z36
OWNER
JABLONECKI MARGARET R
5572 FIL,LMORE ST 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.
08/22
Applicant Date /2022
08/22
Bldg Insp 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#PR22-000149
ADDRESS : 5572 FILLMORE ST NE PERMIT APPLICANT:
PIN: 243024320072 Elizabeth Dipprey
THE N 43.50 FT OF LOT 2 BLK
1,IWEN TERRACE(AS MEAS
ALG THE E&W LINES 26069 2nd St
LEGAL DESC: THERE-OF)SUBJ TO EASE Zimmerman,MN 55398
OF REC
PERMIT TYPE : Water Heater 612-221-5812
PROPERTY TYPE: Water Heater
CONSTRUCTION TYPE: Replacing 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:8 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.