HomeMy WebLinkAboutResidential Permit Card with Standard Notes BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR22-000291
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 12/15/2022
ADDRESS: 1668 MISSISSIPPI ST NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Replacement
CONSTRUCTION TYPE: Replacement
VALUATION: 0
NOTE:REPLACING THE FOLLWING FIXTURES:Water Heater($35),Other Fixture r.CALL FOR FINAL INSPECTION
WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT PROPERTY OWNER
Hero PHC IVERSON,CHRISTOPHER G
10900 Hampshire Ave S# 120
Bloomington,MN 55438 1668 MISSISSIPPI ST NE
612-827-4674 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 4.5.00
State Surcharge Fee 1.00
TOTAL 46.00
Payment(s)
Credit-PR22-000291 -8371158948 46
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: 12/15/2022
Bldg Insp Date 12/15/2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 12/15/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000291
ADDRESS : 11668 MISSISSIPPI ST PERMIT APPLICANT:
PIN: 133024410083 Hero PHC
N 250 FT EX W 170.06 FT OF
LOT 1 AUDITORS 10900 Hampshire Ave S# 120
LEGAL DESC: SUBDIVISION NO 22 Bloomington,MN 55438
PERMIT TYPE : Replacement 612-827-4674
PROPERTY TYPE: Replacement
Water heater and
CONSTRUCTION TYPE: pressure regulator
replacement.
NOTE:
NOTE:REPLACING THE FOLLWING FIXTURES:Water Heater($35),Other Fixture r.CALL FOR FINAL INSPECTION
WITHIN 10 DAYS OF WORK COMPLETION.
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.