HomeMy WebLinkAboutResidential Permit Card with Standard Notes (4) BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER: PR23-000381
7071 UNIVERSITY AVE NE
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 09/22/2023
ADDRESS: 5703 WASHINGTON ST NE
TENANT ADDRESS: 5703 WASHINGTON ST NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: Replacement
VALUATION: 0
NOTE: REPLACING THE FOLLWING FIXTURES: Other Fixture r.CALL FOR FINAL INSPECTION WITHIN 10 DAYS
OF WORK COMPLETION.
APPLICANT PROPERTY OWNER
FFM LLC WALLERIUS STEPHEN J&NANCY A
9440 Wright Brothers Court SW
Cedar Rapids,IA 52404 5703 WASHINGTON ST NE
(319)297-7788 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Permit Fee 3.5.00
State Surcharge Fee 1.00
TOTAL 36.00
Payment(s)
Credit-PR23-000381 - 120020487149 �1/z36
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: 09/22/2023
Bldg Insp Date 09/22/2023
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 09/22/2023
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR23-000381
ADDRESS : 15V7E03 WASHINGTON ST PERMIT APPLICANT:
PIN: 233024130028 FFM LLC
THE N 20 FT OF LOT 10 BLK
4 ADAMS STREET ADD,TOG 9440 Wright Brothers Court SW
LEGAL DESC : /W LOT 11SD BLK 4,SUBJ TO Cedar Rapids,IA 52404
EASE OF REC
PERMIT TYPE : Replacement (319)297-7788
PROPERTY TYPE: Replacement
CONSTRUCTION TYPE: REPLACEMENT OF
GAS DRYER
NOTE:
NOTE:REPLACING THE FOLLWING FIXTURES: 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 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.