HomeMy WebLinkAboutResidential Permit Card (4) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:07/27/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000120
ADDRESS : 255 MERCURY DR NE
PIN: 143024320025
LEGAL DESC:LOT 9 BLK 1 SYLVAN HILLS PLAT 4,SUBJ TO EASE OF REC
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Electrical Services,Repair
CONSTRUCTION TYPE:Electrical Services,Repair
VALUATION: 0
NOTES:INSPECT EXISTING 100 AMP PANEL LABEL CIRCUITS AND GROUND TO CODE.THE PANEL HAS 15
CIRCUITS.
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
Panel Changes(reconnect existing circuit or feeder for 100.00
Palm Electric Inc panelboard replacement)
21741 Keather Avenue N. State Surcharge Fee 1.00
Forest Lake,MN 55025
(651)464-7256 TOTAL 101.00
Payment(s)
Credit-ER22-000120-7987134799iL1/z101
OWNER
SAHNI MANISH&NIVEDITA
3201 128TH LN NE
BLAINE,MN 55449
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.
07/25
Applicant Date /2022
07/27
Bldg lnsp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 07/27/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000120
ADDRESS : 255 MERCURY DR NE PERMIT APPLICANT:
PIN: 143024320025 Palm Electric Inc
LOT 9 BLK 1 SYLVAN
x LS PLAT 4,SUBJ TO 21741 Keather Avenue N.
LEGAL DESC: nEASE OF REC Forest Lake,MN 55025
PERMIT TYPE : Electrical Services, (651)464-7256
Repair
PROPERTY TYPE: Electrical Services,
Repair
Inspect,label and
CONSTRUCTION TYPE: ground 100 amp circuit
breaker panel.
NOTES:INSPECT EXISTING 100 AMP PANEL LABEL CIRCUITS AND GROUND TO CODE.THE PANEL HAS 15
CIRCUITS.
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 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.