HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/25/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000155
ADDRESS : 150 62ND WAY NE
PIN: 153024430045
LEGAL DESC :LOT 6 BLK 1 POTASEKS ADD,SUBJ TO EASE OF REC
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE: Gas Piping
CONSTRUCTION TYPE: Gas Piping
VALUATION: 0
NOTES:LISTED AND LABELED SHUT OFF AND CONNECTOR.
APPLICANT
Description Total Cost
MN PLUMBING&HOME Mechanical Permit Fee 35.00
SERVICES INC State Surcharge Fee 1.00
12040 RIVERWOOD CIR TOTAL 36.00
BURNSVILLE,MN 55337
(952)469-8341 Payment(s)
Credit-MR22-000155- 8064235110i41/236
OWNER
BACKSTROM RONALD&
KATHLEEN
150 62ND WAY 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.
08/25
Applicant Date /2022
08/25
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/25/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR22-000155
ADDRESS : 150 62ND WAY NE PERMIT APPLICANT:
PIN: 153024430045 MN PLUMBING&HOME SERVICES INC
LOT 6 BLK 1 POTASEKS
LEGAL DESC: ADD,SUBJ TO EASE OF 12040 RIVERWOOD CIR
REC BURNSVILLE,MN 55337
PERMIT TYPE : Gas Piping (952)469-8341
PROPERTY TYPE: Gas Piping
CONSTRUCTION TYPE: gas dryer
NOTES:LISTED AND LABELED SHUT OFF AND CONNECTOR.
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 Comments
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.