HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:08/01/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000136
ADDRESS : 5234 FILLMORE ST NE
PIN: 253024220020
LEGAL DESC:MARIAN HELLS CITY OF FRIDLEY LOT 4 BLK 1 MARIAN HILLS-SUBJ TO 5 FT UTILITY EASE
ALONG W LINE-
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Electrical Services,Upgrade
CONSTRUCTION TYPE:Electrical Services,Upgrade
VALUATION: 0
NOTES: 100A TO 200A SERVICE UPGRADE.XM22380. SINGLE POLE BREAKERS: (4) 15A&(4)20A. 2 POLE
BREAKERS: (1)20A&(1)30A.
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 400 Amp Power Source 50.00
NEI Electric,Inc. 0 to 200 Circuit or Feeder(over 250 volts) 128.00
4815 White Bear Parkway State Surcharge Fee 1.00
White Bear Lake,MN 55110
TOTAL 179.00
651-771-1000
Payment(s)
Credit-ER22-000136-8001132769?179
OWNER
HOFFER,MELLISA JO
5234 FIL,LMORE ST 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.
08/01
Applicant Date /2022
08/01
Bldg lnsp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/01/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000136
ADDRESS : 5234 FILLMORE ST NE PERMIT APPLICANT:
PIN: 253024220020 NEI Electric,Inc.
MARIAN HILLS CITY OF
FRIDLEY LOT 4 BLK 1
LEGAL DESC: MARIAN HILLS-SUBJ TO 5 4815 White Bear Parkway
FT UTILITY EASE ALONG W White Bear Lake,MN 55110
LINE-
PERMIT TYPE • Electrical Services,
Upgrade
PROPERTY TYPE: Electrical Services,
Upgrade
CONSTRUCTION TYPE: 100A to 200A Service
Upgrade.XM22380
NOTES: 100A TO 200A SERVICE UPGRADE.XM22380. SINGLE POLE BREAKERS: (4) 15A&(4)20A.2 POLE
BREAKERS: (1)20A&(1)30A.
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 Inspector Status 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.