HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:07/18/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000110
ADDRESS : 6619 CHANNEL RD NE
PIN: 133024240014
LEGAL DESC:W 156.28 FT OF N 80 FT OF S 240 FT OF LOT 4G 2ND REV AUDITORS SUBD NO 21
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Electrical Services,Repair
CONSTRUCTION TYPE:Electrical Services,Repair
VALUATION: 0
NOTES:RECONNECT WATER HEATER.
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
Live Wire Electrical Services Credit-Minimum -40.00
PO Box 446 State Surcharge Fee 1.00
Isanti,Mn 55040
651-688-2400 TOTAL 41.00
Payment(s)
Credit-ER22-000110-796407593 B41/z41
OWNER
LARSEN,JACOB
6619 CHANNEL RD 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.
07/18
Applicant Date /2022
07/18
12Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/18/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000110
ADDRESS : 6619 CHANNEL RD NE PERMIT APPLICANT:
PIN: 133024240014 Live Wire Electrical Services
W 156.28 FT OF N 80 FT OF S
LEGAL DESC: 240 Fr OF LOT 4G 2ND REV PO Box 446
AUDITORS SUED NO 21 Isanti,Mn 55040
PERMIT TYPE : Electrical Services,Repair 651-688-2400
PROPERTY TYPE: Electrical Services,Repair
CONSTRUCTION TYPE: Water Heater
Replacement
NOTES: RECONNECT WATER HEATER.
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
CALL FOR INSPECTIONS WEEKDAYS:7 AM TO 8:30 AM
Inspection type jDate linspector Istatus lComments
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.