HomeMy WebLinkAboutResidential Permit Card with Standard Notes (5) BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR23-000008
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 01/11/2023
ADDRESS: 5570 FILLMORE ST NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Replacement
CONSTRUCTION TYPE: Replacement
VALUATION: 0
NOTE:REPLACING THE FOLLWING FIXTURES:Water Heater($35).CALL FOR FINAL INSPECTION WITHIN 10
DAYS OF WORK COMPLETION.
APPLICANT PROPERTY OWNER
Larson Plumbing Inc. KOEHLER,STEPHEN V
P.O.Box 459
Isanti,MN 55040 5570 FILLMORE ST NE
(763)427-7680 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 3.5.00
State Surcharge Fee 1.00
TOTAL 36.00
Payment(s)
Credit-PR23-000008-8445049173 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: 01/11/2023
Bldg Insp Date 01/11/2023
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 01/11/2023
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR23-000008
ADDRESS : 5570 FILLMORE ST NE PERMIT APPLICANT:
PIN: 243024320073 Larson Plumbing Inc.
THAT PRT OF LOT 2 BLK 1,
IWEN TERRACE LYG S OF
THE N 43.50 FT(AS MEAS ALG P.O.Box 459
LEGAL DESC: THE E&W LINES THEREOF) Isanti,MN 55040
SUBJ TO EASE OF REC
PERMIT TYPE : Replacement (763)427-7680
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replace Water Heater
NOTE:
NOTE: REPLACING THE FOLLWING FIXTURES: Water Heater($35).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.