HomeMy WebLinkAboutResidential Permit Card with Standard Notes (Under Construction) (2) BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR22-000193
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 10/07/2022
ADDRESS: 6357 JACKSON ST NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replacement
VALUATION: 0
NOTE:REPLACING THE FOLLWING FIXTURES:Bath Sink/Lav,Bathtub,Clothes Washer,Dishwasher,Floor Drains,
Kitchen Sink,Laundry Tray,Shower,Swimming Pool,Water Closet,Water Heater($35),Water Meter,Water Piping,Water
Softener($35),Backflow Prev. ($15),Other Fixture r.CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK
COMPLETION.
REMEMBER TO INSTALL PER APPROVED PLANS
APPLICANT PROPERTY OWNER
MAD CITY WINDOWS SCHULZE DAVID WILLIAM
2621 FAIRVIEW AVE N
ROSEVILLE,MN 55421 6357 JACKSON ST NE
(651)603-4748 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
TOTAL 36.00
Payment(s)
Credit-PR22-000193 -8179135292i�'/z36
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction authorized is not commenced within 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.
Applicant Date: 09/21/2022
Bldb lnsp Date 10/07/2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 10/07/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000193
ADDRESS : 6357 JACKSON ST NE PERMIT APPLICANT:
PIN: 143024410094 MAD CITY WINDOWS
LOT 27 BLK 5 FLORENCE
PARK ADD EX S 10 FT
THEREOF,TOG/W LOT 28 SD
LEGAL DESC: BLK 5,ALSO S 5 FT OF LOT 29 2621 FAIRVIEW AVE N
SD BLK 5,INCL w1/2 OF ADJ ROSEVILLE,MN 55421
VAC ALLEY,SUBJ TO EASE OF
REC
PERMIT TYPE : Replacement (651)603-4748
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replacing tub with shower
NOTES:
NOTE: REPLACING THE FOLLWING FIXTURES:Bath Sink/Lav,Bathtub,Clothes Washer,Dishwasher,Floor Drains,
Kitchen Sink,Laundry Tray,Shower,Swimming Pool,Water Closet,Water Heater($35),Water Meter,Water Piping,Water
Softener($35),Backflow Prev. ($15),Other Fixture r.CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK
COMPLETION.
REMEMBER TO INSTALL PER APPROVED PLANS
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
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.