HomeMy WebLinkAboutResidential Permit Card with Standard Notes (2) BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR23-000256
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 06/21/2023
ADDRESS: 1065 63RD AVE NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Remodel
CONSTRUCTION TYPE: Remodel
VALUATION: 0
APPLICANT PROPERTY OWNER
Jayco Plumbing,Inc DAHL JON
10510 Hidden Valley Dr
ROGERS,MN 55374 1065 63RD AVE NE
(763)295-2709 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 1.50.00
State Surcharge Fee 1.00
TOTAL 151.00
Payment(s)
Credit-PR23-0002.56-8875934754i41/z151
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: 06/21/2023
Bldg Insp Date 06/21/2023
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 06/21/2023
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR23-000256
ADDRESS : 1065 63RD AVE NE PERMIT APPLICANT:
PIN : 133024310071 Jayco Plumbing,Inc
LOT 8 BLK 1 MOORE LAKE
LEGAL DESC : HIGHLANDS 3RD ADD,SUBJ 10510 Hidden Valley Dr
TO EASE OF REC ROGERS,MN 55374
PERMIT TYPE : Remodel (763)295-2709
PROPERTY TYPE: Remodel
Replace water heater,
Replace water softener,
Provide plumbing for full
CONSTRUCTION TYPE: bath remodel,Provide
plumbing for kitchen
remodel,Provide plumbing
for laundry remodel
NOTE:
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM
Inspection type Date Inspector Status lComments
Plumbing Rough In
Inspection
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.