2019-02146*2019-02146*
ISSUED: 10/16/2019
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2019-02146
ADDRESS :5110 3RD ST NE
PIN :263024220019
LEGAL DESC :CARLSONS SUMMIT MAN ANNEX 2
:LOT 5 BLOCK 2
PERMIT TYPE :ELECTRICAL
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :AIR CONDITIONING
NOTE: WIRE/RECONNECT AC
This permit becomes null and void if work or construction authorized
is not commenced witin 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________
Bldg Insp____________________________Date ________
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
AGREEMENT AND SWORN STATEMENT
OWNER
BAUER ADAM & JENNIFER
5110 3RD ST NE
FRIDLEY, MN 55421-
CENTERPOINT ENERGY
6161 GOLDEN VALLEY ROAD
BLDG A
GOLDEN VALLEY, MN 55422-
(763) 512-2765
Minnesota State License #: ELEC-EA001796
APPLICANT ELECTRICAL PERMIT FEE 35.00
STATE SURCHARGE, ELEC FLAT 1.00
TOTAL 36.00
Payment(s)
36.00CHECK2256902146
10/16/19
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
ISSUED: 10/16/2019
Permit # 2019-02146
PERMIT APPLICANT::ADDRESS 5110 3RD ST NE
CENTERPOINT ENERGY263024220019:PIN
CARLSONS SUMMIT MAN ANNEX 2:LEGAL DESC 6161 GOLDEN VALLEY ROAD
LOT 5 BLOCK 2:GOLDEN VALLEY, MN 55422-
ELECTRICAL:PERMIT TYPE
(763) 512-2765RESIDENTIAL:PROPERTY TYPE
AIR CONDITIONING:CONSTRUCTION TYPE
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTORDATEINSPECTION TYPE COMMENTS
ELECTRICAL 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.