HomeMy WebLinkAboutResidential Permit Card (4) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 09/01/2022
FRIDLEY,NIN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000162
ADDRESS : 115 CROWN RD NE
PIN: 233024330020
LEGAL DESC:LOT 7 BLK 3 CARLSONS SUMMIT MANOR NORTH ADD, SUBJ TO EASE OF REC
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Replacement
CONSTRUCTION TYPE:Replacement
VALUATION: 0
NOTES: REPLACE ONE WATER CLOSET AND ONE LAVATORY
APPLICANT
Description Total Cost
Permit Fee 35.00
Emily Broeffle State Surcharge Fee 1.00
115 Crown Rd NE
Fridley,MN 55421 TOTAL 36.00
(763)412-5447 Payment(s)
Credit-PR22-000162- 8078870479iL1/z36
OWNER
POWELL,EMILY R
115 CROWN RD 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.
08/30
Applicant Date /2022
09/01
Bldg lnsp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 09/01/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000162
ADDRESS : 115 CROWN RD NE PERMIT APPLICANT:
PIN: 233024330020 Emily Broeffle
LOT 7 BLK 3 CARLSONS
SUMMIT MANOR NORTH 115 Crown Rd NE
LEGAL DESC: ADD,SUBJ TO EASE OF REC Fridley,MN 55421
PERMIT TYPE : Replacement (763)412-5447
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: New Toilet and Sink
Install
NOTES:REPLACE ONE WATER CLOSET AND ONE LAVATORY
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:S AM TO 4:30 PM
Inspection type Date linspector IStatus lComments
Plumbing 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.