AF - 407471 -�
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TO:
FROM:
DATE:
SUBJECT:
Community Development Department
PLANZVnvG Drvrsxorr
City of Fridley
4i
Files of Harstad Townhomes
�-- Michele McPherson, Planning Assistant
August 19, 1994
Building Permit Issuance
The Fridley City Council approved the attached site plan at its
August 15, 1994 meeting. In order for the developinent to proceed,
a rezoning was approved for the east half of the project site. At
the writing of this memo, the second reading of the rezoning
ordinance has not been conducted. The second reading and
subsequent publication will not occur until building permits have
been issued for.the building adjacent to Fillmore Street.
Building permits a�e to be issued for building plans as:.;indicated
on the enclosed'site plan. An increase in the number of units will
require review and approval by the Fridley City`Council. Any
decrease in density will be permitted, without review, by the City
Council.
Stipulated as a condition of the plat is
petition for construction of a cul-de-sac
when building permits are applied for
Street.
MM:ch
M-94-484
that the petitioner is to
at the end of Polk Street
for 5531 and 5533 Polk
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sue�ecT PE
c;cy of Fridley � �, � � 3 �
AT THE TOP Of TME TWINS g U I L D I N G P E R M I T
f
� � RECEIPT NO.
� COMMUNITY DEVELOPMENT DIV.
, ; L-- y �
r � � PROTECTIVE INSPECTION SEC- 'a L
� �
i
' � ����1 � CITY HAIL fRIDIE� SS432 NUMBER AEV DATE PAGE OF APPROVED 8�
�""'�"� ��' 612-571-3450 9�0-F15 11/18/94 / /
J08 ADDRESS
5546 East Fillmore Circle
t LEGAL LOT NO. BLOCK TRACT OF AD�ITION SEE ATTACHE�
DESCR. 6 1 Hillwind Townhomes SHEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE
�ain Cit Townhomes 1250 East Moore L F'
3 CONTRACTOR MAII AODRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNEFi MAIL AODRESS IIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residentia T
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 27' x ' ' " '
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Paid Park Fee of $750.00
Variances apgroved on 8/15/94 to reduce the front yard setback from 35' to 30';
reduce setback from 25' to 18.9' for front patios; and to increase the width of
the driveways from 32� to 36'.
SEPARATE PERMITS REQUIRED FOR
WIRlNG, HEATING, Pl.UMBING AND SIGNS.
TVPEOFCONST. OCCUPANCVGROUP OCCUPANCVIOAD
SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTtLATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK �S SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIfV THAT I HAVE FEAD AND EXAMINED THIS APPLICATION 1 STALLS GAfiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETH R SPECIFIED MEREIN OR NOT. TNE GRANTING OF A PERMIT �91�001.03 ��FS.SO
DOES NOT ESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMiT FEE SAC CHARGE
PROVISIO F ANY OTH STATE OR LOCAL LAW REGULATING corv- Fire SC
STRUCTI OR TME PE RM CE OF ONSTRUCTION �S99.00 �HOO.00
PLAN CHECK fEE TOTA� FEE
�� License SC 5. 0 1 540.50 + PF
SIGNATUFIEOFCO �AAC10R0 nUTHOAiZEDAGENT on i WHEN PpOPER VALIDATED THIS IS YOUfi PERMIT
- � �W / � �/ �/ / /
SiGNATUREOFpWNEAi��OWNEABUiIOERi IDAlEi BLD �NSP f)4TE
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NEW
ADDN
ALTER
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ConsttvctionAdaress?
CITY OF FRIDLEY
SINGLE FAMILY AND DUPI.EXES R-1 AND R-2
Building Permit Applicatipn
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Effective 1 / i /94
� 'i� �
Legal Description:
Owner Name & Address: / C�.ji � ,c i i/ j�� t� �� f.S Tel. #
� _
Contractor: . S�-�'1.� MN LICENSE # �� (� 9
Address: ��S �� Ut�-� � ��DO� �. L�l �/� . �/Z�/�L�i ���1�2 Tel. # . S'%�'���Ia
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to diis application, a Certificate of Survey of the
lot, with the proposed constivction drawn on it to scale.
DE$CRIPTiON OF IMPROVEMENT �,��� .�jflS�
� , �� `�� � �10
Length Width .�z Height f 99 S aSq• Ft.
Length %%� " Width /c`3 � Height Sq. Ft. / S
Length Width Hgt/Ground Sq. Ft.
Corner Lot (]�nside Lot [] Ft. Yd Setback Side Yard Setbacks
T�rpe af Construction: �%� O�i �2 e4 �'il �� Estimated cost: $ �/ ��/, D 3
_ Approx. Complerion Dabe:
, ,:. �fCost on �ack) :.
Driveway Curb C'�t Width �Needed: Ft. + 6 Ft = Ft x$ _$
DATE: C� � � APPLICANT: , �� � l,-��. ,� ��t1� .2 t,�Q Tel. # .'�%� - �id
CjT,Y U� ONLY
Permit Fee $���• �� Fee Schedule on Reverse Side
Fire Surcharge $ �� • 4 D :.001 of Permit Valuation (1/IOth96)
State Surcharge $ 5. S C� :-;�.50/51,000 Valuation
SAC Charge �=�� �, $ $80!0 p�r SAC Unit
License Surcharge $ �°° $5.00 (State Licensed Residential Contractors)
Driveway Escrow
Frosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ Alt. "A" or Alt. "B" Above
$ $450.00 Consen►ation Plan Review
$ �%5D,D0 Fee Determined by Engineering
$ �- (J �� Agreement Necessary [ l Not Nece.ssary �
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- FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55�32 •(612) 57 f-3450 • FAX (612) 571-I?K7
April 3, 1995
Twin City Townhouses Inc
1250 E Moore Lake Dr NE
Fridley, MN 55432
Re: Final Inspections at 5524, 5528, 5546 and 5554 East Fillmore Circle NE, and
5523, 5527, 5545 and SS53 West Fillmore Circle NE, Fridley
Dear Su's:
Final inspections were conducted on March 30 and March 31, 1995 for the above noted
addresses. We found that the construction of the building complies to the best of our knowledge
and belief, with all the requirements of the building codes of the City and the State of Minnesota
relating thereto, and permission is hereby given for the occupancy of said building.
If you have any questions on this matter, please feel free to contact me at 571 3450.
Sincerely,
��� .�r_- r./�
y�, ,'� �-
�' : � i� •
��Iil�l
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 LTNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�63) 572-3604 FAX: (763) 571-1287
: 5546 E FILLMORE CIR NE
: 243024320089
: LTNAVAILABLE
: LOT BLOCK
: BUILDING
: TOWNHOUSES
: ADDITION/ALTERATION
PERMIT NO.: 2004-00149
DATE ISSUED: 02/03/2004
VALUATION : $ 9,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION
310.9.1.2 OF TI� 1997 UNIFORM BUILDING CODE WHEN ADDITIONS, ALTERATIONS OR REPAIRS IN EXCESS OF
$1,000 ARE MADE TO RESIDENTIAL DWELLINGS. BASEMENT ALERATION
APPLICANT
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
OWNER
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
applicarion and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
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 locallaw
regulating construct}'on or the performance of consttuction.
Applicant � �I Date��
�Iu
Bldg
�
BUILDING PERMIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
TOTAL
PAID WITH CHECK # 7859
�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
167.25
9.00
4.50
180.75
NEVN � ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�� �a�
Effective 1/1/2004
(763) 572�604 Bldg Insp
(763) 571-1287 Fax �
�/� �3�
(
Construction Address _ S.S yCo F. F l«�v► 0�2� � 1 R• f- R�o �e y rti N SS y3 2
Legal Description:
Owner Name 8� Address: f�EN �, , � Sw�� �,J Tel. # 7G 3'38� -oq9 <c
Contractor:
MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
/ �/ / �l i
LIVING AREA: Length 2 S"� Width 3�- g Height $ Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Len� Widi"Fi�� Hgt/Ground Sq. Ft.
OTHER:
Construction Type: Estimated Cost: $� Do0
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 2 ''3' a `F APPLICANT: ��- Tel. # 5 g � � � °� `� �
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� -�. a5
$ � O�
$ •�
$
�
$
$
$
$
$ �� .�
�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
BiJILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3 .OS for each additional $100 or
fraction thereof, to and including $2,000 .
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
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CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�631572-3604 FAX: (763) 571-1287
ADDRESS : 5546 E FILLMORE CIR NE
PIN : 243024320089
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT NO.: 2004-00152 �
DATE ISSUED: 02/04/2004
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL ONE WATER CLOSET, ONE SHOWER, 2 SINKS
# ELEC WATER HEATERS 0
# NEW FIXTURES (EXIST OPENII�iGS) 0
# GAS DRYERS 0
# OF NEW FIXTURES 4
APPLICANT
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
C�Ij:/`►I �i:7
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and lrnow the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
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 construgtion or the performance of constructi9n.
Bldg
VALUE OF FIXTURE/APPLIANCE
# GAS WATER HEATERS
# GAS RANGES
# WATER TRMT APPLIANCES
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
PLBG FIXTURES (EXIST OPENII�IGS)
WATER TREATMENT APPLIANCE
WATER HEATER - ELEC
WATER HEATER - GAS
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
STATE SURCHARGE, PLBG FLAT
TOTAL
PAID WITH CHECK # 7862
SEPARATE PERMITS REQUIItED FOR WORK OTI�R THAN DESCRIBED ABOVE.
0
0
0
0
0.00
21.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.50
21.50
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
(`�MM�I� �!EI�T ��Fnir rnniniFr_TnR nnin r.nMBl1ST10N AIR VFRIFICATInN
When��n�_ acin� an _Yic in� f�rance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The pYi� �no cemb ,st�en air is sized and installed to meet the current codes
and manufacturer's specifications.
Whe11 �eqUlfed t0 �nctall a n_w _nm6 ,ctien air� it will be sized and installed
to meet the current codes and manufacturer's specifications.
Whe11 ine a11in0 a new v�ntinQ�y� pm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No ()
A�eliance T�y and �i7e/Cnmmen �/ent and Went Cennector Informatinn
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
, � 1•► �- �Ta
HEATING CO:
Signed By: Date :
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRTDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 r'AX:
: 5546 E FILLMORE CIR NE
: 243024320089
: UNAVAILABLE
: LOT BLOCK
: HEATING
: RESIDENTIAL
: ADDITION/ALTERATION
571-1Zi37
PERMTT NO.: 2004-00153 �
DATE ISSUED: 02/04/2004
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER.
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL DUCT WORK, SUPPLY AND RETURN
# A/C LJNITS
#FURNACES
# GAS RANGES
APPLICANT
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
OWNER
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
0 VALUE OF APPL OR WORK
0 # GAS DRYERS
0
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 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 worl�
will be complied with whether specified herein or not. T'he
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulatin� construction or the performance of construction.
Applican� � Date
: � � . r �i �l.l ! . L � � ���ll�i
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS PIPING FEE
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIOI�iING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 7862
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
500
0
25.00
0.00
0.00
0.00
0.00
0.00
0.00
0.50
25.50
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►63) 572-3604 FAX: (763) 571-1287
: 5546 E FILLMORE CIR NE
: 243024320089
: UNAVAILABLE
: LOT BLOCK
: ELECTRICAL
: TOWNHOUSES
: ADDITION/ALTERATION
PERMIT NO.: 2004-00160
DATE ISSUED: 02/OS/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
LOWER LEVEL FII�TISH
# INSPECTIONS
APPLICANT
SAVE ELECTRIC LLC
16714 233 AVE
BIG LAKE, MN 55309
OWNER
SWANSON GLEN E
5546 E FILLMORE CIR NE
FRIDLEY, MN 55432
2
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and lrnow the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
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
Bldg Insp Date
ELEC PERMIT FEE - MIN (RESn
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 4218
SEPARATE PERMITS REQUIRED FOR WORK O'Tf�R THAN DESCRIBED ABOVE.
40.00
0.50
40.50
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 iTNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36u4 r�aat:
: 5546 E FILLMORE CIR NE
: 243024320089
: UNAVAII,ABLE
: LOT BLOCK
: ELECTRICAL
: TOWNHOUSES
: ADDITION/ALT'ERATION
571-1Z87
PERMIT NO.: 2004-01453
DATE ISSUED: 09/Ol/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PALJL, MN 55114-
OWNER
!, SWANSON GLEN E
, 5546 E FILLMORE CIR NE
�, FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and lmow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
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
Bldg Insp Date
ELEC PERMIT FEE - MIN (RESI)
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 117431
�nrHtcH i� r�tuvii i � tc�tlulic�iJ r Vx w Vttli u 1 tl r,x 1 tiAiV U��C;Kiti�l� At3 V v�.
20.00
0.50
20.50