HomeMy WebLinkAboutResidential Permit Card with Standard Notes (2) BUILDING INSPECTIONS DEPARTMENT PERMIT NUMBER' PR24-000023
7071 UNIVERSITY AVE NE '
FRIDLEY,MN 55432 ISSUE DATE: 01/16/2024
PHONE: (763)572-3604
ADDRESS: 1671 CAMELOT LN NE
PERMIT TYPE: Plumbing Residential Permit
PROPERTY TYPE:Remodel
CONSTRUCTION TYPE: Remodel
VALUATION: 0
APPLICANT PROPERTY OWNER
A.Joihnson Plumbing inc MICKOLS,ERIC W
17285 21lth ave nw
big lake,mn 55309 1671 CAMELOT LN NE
612-221-8430 FRIDLEY,MN 55432
PAYMENT INFORMATION
Description Total Cost
Convenience Fee 1.13
Permit Fee 40.00
State Surcharge Fee 1.00
TOTAL 42.13
Payment(s)
Credit-PR24-000023 - 120230319063iL'/z41
Credit-Convenience Fee for PR24-000023- 120230319090iL'/z1.13
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: 01/16/2024
01/16/2024
Bldg Insp Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 01/16/2024
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#PR24-000023
ADDRESS : 1671 CAMELOT LN NE PERMIT APPLICANT:
PIN: 133024410032 A.Joihnson Plumbing inc
LOT 24 BLK 2 HARRIS LAKE
ESTATES,EX W 5 FT 17285 211th ave nw
LEGAL DESC : THEREOF,SUBJ TO EASE OF big lake,mn 55309
REC
PERMIT TYPE : Remodel 612-221-8430
PROPERTY TYPE: Remodel
CONSTRUCTION TYPE: bathroom 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 Comments
Plumbing Rough In David Jensen
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.