HomeMy WebLinkAboutResidential Permit Card with Standard Notes BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR23-000054
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 02/13/2023
ADDRESS: 1000 67TH AVE 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.
APPLICANT PROPERTY OWNER
Minnesota Rusco NIZNIK RICHARD M&JUNE A
5010 HWY 169 N
New Hope,MN 55428 1000 67TH AVE NE
952-935-9669 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 35.00
State Surcharge Fee 1.00
TOTAL 36.00
Payment(s)
Credit-PR23-000054-8532791011 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: 02/10/2023
Bldg Insp Date 02/13/2023
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 02/13/2023
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR23-000054
ADDRESS : 1000 67TH AVE NE PERMIT APPLICANT:
PIN : 133024230070 Minnesota Rusco
LOT 3 BLOCK 1 1vIICHAEL 5010 HWY 169 N
LEGAL DESC: SERVETUS 2ND ADD New Hope,MN 55428
PERMIT TYPE : Replacement 952-935-9669
PROPERTY TYPE: Replacement
Direct replacement of
CONSTRUCTION TYPE: existing shower wet
space,wall surround,and
plumbing fixtures.
NOTE:
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.
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM
Inspection type Date linspector Istatus Comments
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.