HomeMy WebLinkAboutResidential Permit Card with Standard Notes (3) BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER' MR23-000071
7071 UNIVERSITY AVE NE '
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 02/28/2023
ADDRESS: 250 RICE CREEK BLVD NE
PERMIT TYPE:Mechanical Residential Permit
PROPERTY TYPE: Gas Range
CONSTRUCTION TYPE: Gas Range
VALUATION: 0
NOTE: REPLACING GAS RANGE.CALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT PROPERTY OWNER
FFM LLC SADOWSKI GERALD F&DELORES
9440 Wright Brothers Court SW
Cedar Rapids,IA 52404 250 RICE CREEK BLVD NE
(319)297-7788 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Mechanical Permit Fee 35.00
State Surcharge Fee 1.00
TOTAL 36.00
Payment(s)
Credit-MR23-000071 -8573124610 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: 02/28/2023
Bldg Insp Date 02/28/2023
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 02/28/2023
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#MR23-000071
ADDRESS : 250 RICE CREEK BLVD NE PERMIT APPLICANT:
PIN : 143024220084 FFM LLC
LOTS 9&10 BLOCK 4 RICE
CREEK PLAZA NORTH
ADDITION LYG ELY OF A LINE
DESC AS FOL:BEG AT PT 6.40
LEGAL DESC : FT NWLY OF NELY COR OF SD 9440 Wright Brothers Court SW
LOT 10,TO A PT ON SURVEY Cedar Rapids,IA 52404
LINE 36 FT NELY OF WLY LINE
OF SD LOT 9,&SD LINE THERE
TERM
PERMIT TYPE : Gas Range (319)297-7788
PROPERTY TYPE: Gas Range
CONSTRUCTION TYPE: REPLACEMENT OF GAS
RANGE
NOTE:
NOTE: REPLACING GAS RANGE.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 Inspector Status Comments
Gas Piping/Air Test
Heating 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.