HomeMy WebLinkAboutResidential Permit Card with Standard Notes BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR22-000300
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 12/28/2022
ADDRESS: 1380 69TH AVE NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Replacement
CONSTRUCTION TYPE: Replacement
VALUATION: 0
NOTE:REPLACING THE FOLLWING FIXTURES: Clothes Washer.CALL FOR FINAL INSPECTION WITHIN 10 DAYS
OF WORK COMPLETION.
APPLICANT PROPERTY OWNER
Ian Rapson ANDREWS,RIANNA K
1380 69th Ave NE
Fridley,MN 55432 1380 69TH AVE NE
(612)669-4797 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 3.5.00
State Surcharge Fee 1.00
TOTAL 36.00
Payment(s)
Credit-PR22-000300-8406231290 36
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: 12/28/2022
Bldg Insp Date 12/28/2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 12/28/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR22-000300
ADDRESS : 1380 69TH AVE NE PERMIT APPLICANT:
PIN : 133024120005 Ian Rapson
TH PRT OF LOTS 1&2
AUDITORS SUBDIVISION NO 10
REV DESC AS FOL:BEG AT PT
ON N LINE 836 FT E OF NW COR
OF LOT 16 SD PLAT,TH E ALG N 1380 69th Ave NE
LEGAL DESC: LINE OF SD LOTS 97 FT,TH S Fridley,MN 55432
PRLL/W W LINE THEREOF 308
FT,TH W PRLL/W N LINE 97 FT,
TH N PRLL/W W LINE THEREOF
30
PERMIT TYPE : Replacement (612)669-4797
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replace Washing Machine
NOTE:
NOTE:REPLACING THE FOLLWING FIXTURES: Clothes Washer.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.