2019-02227*2019-02227*
ISSUED: 10/25/2019
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2019-02227
ADDRESS :1401 KERRY CIR NE
PIN :133024430041
LEGAL DESC :HEATHER HILLS 2ND ADD
:LOT 4 BLOCK 1
PERMIT TYPE :ELECTRICAL
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :ELEC SERVICES, NEW
NOTE: CALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED INSPECTIONS.
ELECTRIC PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE
ADD $1.00 T(MINIMUM) STATE SURCHARGE TO THE FEE OR IF OVER $1,010 MULTIPLY .0005.
REPLACE FURNANCE AND 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
POLSFUSS, ZACH
1401 KERRY CIR NE
FRIDLEY, MN 55432-
HOME ENERGY CENTER
2415 ANNAPOLIS LANE NORTH
SUITE 170
PLYMOUTH, MN 55441-
(763) 476-1990
Minnesota State License #: ELEC-EA005126
APPLICANT ELECTRICAL PERMIT FEE 35.00
STATE SURCHARGE, ELEC FLAT 1.00
TOTAL 36.00
Payment(s)
36.00CHECK9257702227
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
ISSUED: 10/25/2019
Permit # 2019-02227
PERMIT APPLICANT::ADDRESS 1401 KERRY CIR NE
HOME ENERGY CENTER133024430041:PIN
HEATHER HILLS 2ND ADD:LEGAL DESC 2415 ANNAPOLIS LANE NORTH
LOT 4 BLOCK 1:PLYMOUTH, MN 55441-
ELECTRICAL:PERMIT TYPE
(763) 476-1990RESIDENTIAL:PROPERTY TYPE
ELEC SERVICES, NEW: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 ROUGH-IN
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.