HomeMy WebLinkAboutResidential Permit Card (4) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:07/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000119
ADDRESS : 1376 76TH AVE NE
PIN: 123024120117
LEGAL DESC:LOT 2 BLK 2 MEADOWMOOR TERRACE 2ND, SUBJ TO EASE OF REC
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Furnace and Air Conditioning
CONSTRUCTION TYPE:Furnace and Air Conditioning
VALUATION: 0
NOTES: RECONNECT FURNACE&AIR CONDITIONER REPLACEMENTS.
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
Minimum Permit Fee 40.00
Home Energy Center State Surcharge Fee 1.00
2415 Annapolis Lane N 170
Plymouth,MN 55441 TOTAL 41.00
(763)244-0263 Payment(s)
Credit-ER22-000119-7974507601?41
OWNER
NGUYEN KELLY
1376 76TH 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.
07/22
Applicant Date /2022
07/22
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000119
ADDRESS : 1376 76TH AVE NE PERMIT APPLICANT:
PIN: 123024120117 Home Energy Center
LOT 2 BLK 2
MEADOWMOOR TERRACE 2415 Annapolis Lane N 170
LEGAL DESC: 2ND,SUBJ TO EASE OF REC Plymouth,MN 55441
PERMIT TYPE : Furnace and Air
Conditioning
PROPERTY TYPE: Furnace and Air
Conditioning
CONSTRUCTION TYPE: Furnace&AC
Replacement
NOTES: RECONNECT FURNACE&AIR CONDITIONER REPLACEMENTS.
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 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.