HomeMy WebLinkAboutResidential Permit Card CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:05/19/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000015
ADDRESS : 645 57TH AVE NE
PIN: 233024420015
LEGAL DESC:DONNAYS LAKEVIEW MANOR ADDN CITY OF FRIDLEY LOT 13 BLK 9DONNAYS LAKEVIEW
MANOR ADD-SUBJ TO DRAIN&UTIL EASEALONG N 10 FT-
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Electrical Services,Repair
CONSTRUCTION TYPE:Electrical Services,Repair
VALUATION: 0
NOTES: KITCHEN OUTLET REPAIR,GFI PROTECTED BATH OUTLET INSTALLED GROUND FAULT OUTLET IN
BEDROOM,LAUNDRY AND MECHANICAL ROOM.
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
APPLICANT
Description Total Cost
Additional Inspection Trips 40.00
Minimum Permit Fee 40.00
Credit-Minimum -40.00
JM Electric LLC State Surcharge Fee 1.00
11353 Wildwood Court NE
Blaine,MN 55449
TOTAL 41.00
Payment(s)
Credit-ER22-000015 -7801162727iL1/z41
OWNER
BLOMBERG THOMAS E&
KARLA A
3158 BROOKSHIRE LN
NEW BRIGHTON,MN 55112
AGREEMENT AND SWORN STATEMENT
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.
05/19
Applicant Date /2022
05/19
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/19/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000015
ADDRESS : 645 57TH AVE NE PERMIT APPLICANT:
PIN: 233024420015 JM Electric LLC
DONNAYS LAKEVIEW
MANOR ADDN CITY OF
FRIDLEY LOT 13 BLK
LEGAL DESC : 9DONNAYS LAKEVIEW 11353 Wildwood Court NE
MANOR ADD-SUBJ TO Blaine,MN 55449
DRAIN&UTIL
EASEALONG N 10 FT-
PERMIT TYPE: Electrical Services,Repair
PROPERTY TYPE: Electrical Services,Repair
kitchen outlet repair,gfi
porected bath outlet installed
CONSTRUCTION TYPE: ground fault outlet in
bedroom,laundry and
mechanical room
NOTES: KITCHEN OUTLET REPAIR,GFI PROTECTED BATH OUTLET INSTALLED GROUND FAULT OUTLET IN
BEDROOM,LAUNDRY AND MECHANICAL ROOM.
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
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:8 AM TO 4:30 PM
Inspection type Date linspector Istatus Comments
Electrical 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.