HomeMy WebLinkAboutResidential Permit Card with Standard Notes BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER' PR24-000011
7071 UNIVERSITY AVE NE '
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 01/09/2024
ADDRESS: 5367 5TH ST NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE: Valve Replacement
CONSTRUCTION TYPE: Valve Replacement
VALUATION: 0
NOTE: VALVE REPLACEMENT.CALL 763-572-3566 TO SCHEDULE SHUT OFF.CALL FOR FINAL INSPECTION
WITHIN 10 DAYS OF WORK COMPLETION.
APPLICANT PROPERTY OWNER
Devon Carter FLORES-LOPEZ ISAAC
6900 Winnetka Circle#350
Brooklyn Park,MN 55428 1350 127TH LN NE
(763)561-3306 BLAINE,MN 55434
PAYMENT INFORMATION
Description Total Cost
Convenience Fee 0.99
Permit Fee 35.00
State Surcharge Fee 1.00
TOTAL 36.99
Payment(s)
Credit-PR24-000011 - 120217385973iL1/z36
Credit-Convenience Fee for PR24-000011 - 120217386010iL1/z0.99
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: 01/08/2024
Bldg Insp Date 01/09/2024
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 01/09/2024
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR24-000011
ADDRESS : 5367 5TH ST NE PERMIT APPLICANT:
PIN : 233024340069 Devon Carter
LOTS 26&27 BLOCK 15
HAMa,TONS ADDMON TO 6900 Winnetka Circle#350
LEGAL DESC: MECHANICSVILLE,Ex RD Brooklyn Park,MN 55428
SUBJ TO EASE OF REC
PERMIT TYPE : Valve Replacement (763)561-3306
PROPERTY TYPE: Valve Replacement
CONSTRUCTION TYPE: Replace main valve before
the meter.
NOTE:
NOTE: VALVE REPLACEMENT.CALL 763-572-3566 TO SCHEDULE SHUT OFF.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.