HomeMy WebLinkAboutResidential Permit Card CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:05/27/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000021
ADDRESS : 184 53RD AVE NE
PIN: 263024220028
LEGAL DESC: CARLSONS SUMMIT MANOR NORTH ADDN CITY OF FRIDLEY LOT 8 BLK 1 CARLSONS SUMMIT
MANOR N ADD-SUBJ TO 5 FT DRAIN&UTIL EASE ALONG SLY LINE-
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Electrical Services,Repair
CONSTRUCTION TYPE:Electrical Services,Repair
VALUATION: 0
NOTES: 1 MODIFIED CIRCUIT BASEMENT OUTLEST ON BLOCK WALL,3 OUTLETS FROM EXISTING CIRCUIT. 1
MODIFIED CIRCUIT MAIN FLOOR BATH FAN.
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
0 to 200 Circuit or Feeder(over 250 volts) 32.00
Minimum Permit Fee 40.00
Credit-Minimum -32.00
Nordeast Electric,Inc. State Surcharge Fee 1.00
4219 Central Ave NE
Minneapolis,MN 55421
TOTAL 41.00
Payment(s)
Credit-ER22-000021 -7819378750iL1/z41
OWNER
DUBA MELINDS A&
BENJAMIN M
184 53RD AVE NE
FRIDLEY,MN 55421
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.
05/26
Applicant Date /2022
05/27
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/27/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000021
ADDRESS : 184 53RD AVE NE PERMIT APPLICANT:
PIN: 263024220028 Nordeast Electric,Inc.
CARLSONS SUMMIT MANOR
NORTH ADDN CITY OF
FRIDLEY LOT 8 BLK 1 4219 Central Ave NE
LEGAL DESC: CARLSONS SUMMIT MANOR Minneapolis,MN 55421
N ADD-SUBJ TO 5 FT DRAIN&
UTIL EASE ALONG SLY LINE-
PERMIT TYPE : Electrical Services,Repair
PROPERTY TYPE: Electrical Services,Repair
CONSTRUCTION TYPE: Modifying(2)existing
circuits
NOTES: 1 MODIFIED CIRCUIT BASEMENT OUTLEST ON BLOCK WALL, 3 OUTLETS FROM EXISTING CIRCUIT. 1
MODIFIED CIRCUIT MAIN FLOOR BATH FAN.
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 jDate 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.