HomeMy WebLinkAboutResidential Permit Card (3) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:06/10/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000040
ADDRESS : 650 67TH AVE NE
PIN: 143024130078
LEGAL DESC:LOT 1 BLK 6 RICE CREEK TERRACE PLAT 6, SUBJ TO EASE OF REC
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Electrical Services,New
CONSTRUCTION TYPE:Electrical Services,New
VALUATION: 0
NOTES:
APPLICANT
Description Total Cost
0 to 400 Amp Power Source 50.00
State Surcharge Fee 1.00
Raymond Electrical
2689 130th cir nw
Coon Rapids,MN 55448 TOTAL 51.00
Payment(s)
Credit-ER22-000040-7862110249 51
OWNER
STARCK TRUSTEE AVONNA
CAROLINE
650 67TH AVE NE
FRIDLEY,MN 55432
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.
06/09
Applicant Date /2022
06/10
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 06/10/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000040
ADDRESS : 650 67TH AVE NE PERMIT APPLICANT:
PIN : 143024130078 Raymond Electrical
LOT 1 BLK 6 RICE CREEK
LEGAL DESC : TERRACE PLAT 6,SUBJ TO 2689 130th cir nw
EASE OF REC Coon Rapids,MN 55448
PERMIT TYPE : Electrical Services,New
PROPERTY TYPE: Electrical Services,New
CONSTRUCTION TYPE: EV charging electrical
service on the garage
NOTES:
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:S AM TO 4:30 PM
Inspection type Date Inspector Status Comments
Electrical Final Inspection
Electrical Rough In
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.