P - 76376� 1-87�-�09 �
Describe -using the back of the white copy if ne�
FEES
✓ICE5/ POWER SUPPLIES
0 to 400 Ampere an $25
Above 200 Am ere a$10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus $.50
ADDITIONS TO THE GENERAL F
MULTIFAMILY DWELLINGS PER UNIT
3 to 12 Unfts @$50 Per Unit
Each Additional Unit @ $25
OTHER ADDITIONAL FEES
� Retrofit @ $.25 per Fixture
Pivot Irriqation Boom an $4C
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board o�-Electric�y
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mr:.us �
r- the wor covered by this request:
�.�'/'C ti�' %� �C�'�/'aG' �
Outdoor Lighting Standard $1
Traffic Si nal Standard $5
Supplemental Fee $20
Transformers u to 10 KVA $10
Transformers over 10 KVA $ 20
Transformer / Power Su I for S' ns / Outline Li htin $5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
GNALING Circuits and Two Inspection Trips Each Dwelling.Unit @$80
Additional Ins tion Tri s $20
Investiqative Fee
Special Inspection a$30 per Hour
S ial Inspection $.31 er Mile
THIS INSTALLATION MAY BE ORDERED
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18702092
TOTAL FEE ��1 (�
total fee is $20) �v '> �
I hereby certify that I inspe elecVical installation described herein on the dates stated:
ROUGH IN - / pp�
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FINALINSPECTION pqTE
Piaeo� ooneo on�
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CTED IF NOT COMPLETED WITHIN ONTHS
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Rough-in Inspection Required? �iYes ❑ No Inspection Other Than Rough-In: ❑ Ready Now�Will Call
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� You must call the inspector when ready! Date Ready:
I certify that I am the�LiCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
Job Sde Street Address � � S�, y3� City
a I Ca � ��O(� l�'
Township Section Range Fire No. County
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�� OwnedOccupant Name 1 Please Provide Two (2) Pho mbers including Area Code
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Electrical Utility Electrical UtilityAddress
IContractor / Company Name Contractor License Number Master Electrician or Power Limited Technician
� C:. n 7"� � /yJ�� �� �' � /� � % License Number
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Mailing Address (Contractor, Company or Owner Performing Installation)
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I Authorized Signature (Contrador r wner Pertorming In=tallation) Please Provide Two (2) Phone Numbers Including Area Code
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OF YELLOW COPY BOARD OF ELECTRIqTY COPY ❑a_nnmm�.�a a� n
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Fridley Municipal Center — 6431 University Ave NE, Fridley MN 55432
Building Inspection Department (763) 572-3604 FAX (763) 571-1287
Open Permit Letter
January 11, 2007
Blackridge Builders
5010 Edinburgh Way
Big Lake, MN 55309
Re: Permit #2006-00459, 6201 Carol Dr. N.E., Fridley, MN 55432
Dear Permit application:
The city building inspection records indicate you have an open permit, correction, and/or inspection that
have not been addressed in accordance with Minnesota Rules, Chapter 1300.
Within (14) working days after the receipt of this letter, you must contact the Building Inspection Division
of the City of Fridley to schedule an inspection. Should you not schedule an inspection within that time
period, your permit will be considered expired per Minnesota Rule, Chapter 1300, and all non-compliance
issues for which you will remain liable, will be put in the property address file for permanent record at the
tty �a . _ _
- _- -
_. --
In order to obtain a final approval for the work allowed under your permit at the above address, which
would then allow the city to issue a certificate of occupancy, the following issues must be addressed:
1. Electrical Inspection with Bob Clauson (call him to schedule at 651-777-7885, between hours of
7:00 — 8:30 a.m. weekdays)
2. Final Reinspection
Please complete the above corrections and call to schedule an inspection with the permit technician at (763)
572-3604.
Sincerely,
David Jensen
Building Inspector