HomeMy WebLinkAboutResidential Permit Card with Standard Notes BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER' PR24-000014
7071 UNIVERSITY AVE NE '
FRIDLEY,MN 55432
PHONE: (763)572-3604 ISSUE DATE: 01/10/2024
ADDRESS: 5361 MADISON ST NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Water Heater
CONSTRUCTION TYPE:Water Heater
VALUATION: 0
COMBUSTION AIR PER 2020 MN MECH./FUEL GAS CODE.CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT
BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM,MONDAY THROUGH FRIDAY AND BETWEEN THE HOURS OF 9:
00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS
AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
APPLICANT PROPERTY OWNER
Hero PHC ROTH,MEGHABHUTI
10900 Hampshire Ave S# 120
Bloomington,MN 55438 5361 MADISON ST NE
(612)827-4674 FRIDLEY,MN 55421
PAYMENT INFORMATION
Description Total Cost
Convenience Fee 1.95
Permit Fee 70.00
State Surcharge Fee 1.00
TOTAL 72.95
Payment(s)
Credit-PR24-000014- 120221173480iL'/z71
Credit-Convenience Fee for PR24-000014- 120221173513iL1/z1.95
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: 01/10/2024
Bldg Insp Date 01/10/2024
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 01/10/2024
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR24-000014
ADDRESS : 5361 MADISON ST NE PERMIT APPLICANT:
PIN : 233024430090 Hero PHC
TEMPLE TERRACE 2ND
ADDITION CITY OF FRIDLEY
LOT 3 BLK 2 TEMPLE
LEGAL DESC: TERRACE 2ND ADD-SUBJ TO 5 10900 Hampshire Ave S# 120
FT UTIL EASE ALONGN LINE& Bloomington,MN 55438
5 FT UTIL&DRAINAGE EASE
ALONG E LINE-
PERMIT TYPE : Water Heater (612) 827-4674
PROPERTY TYPE: Water Heater
CONSTRUCTION TYPE: Replace water heater
NOTE:
COMBUSTION AIR PER 2020 MN MECH./FUEL GAS CODE.CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT
BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM,MONDAY THROUGH FRIDAY AND BETWEEN THE HOURS OF 9:
00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS
AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
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
Water Heater Final
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.