HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:08/16/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000158
ADDRESS : 101 HORIZON CIR NE
PIN: 233024330036
LEGAL DESC:LOT 6 BLK 4 CARLSONS SUMMIT MANOR NORTH ADD, SUBJ TO EASE OF REC
PERMIT TYPE:Electrical Residential Permit
PROPERTY TYPE:Remodel
CONSTRUCTION TYPE: Remodel
VALUATION: 0
NOTES:
CALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED
INSPECTIONS.
APPLICANT
Description Total Cost
Minimum Permit Fee 40.00
Inspection Fee 80.00
ELVIA ORTIZ Credit-Minimum -40.00
101 HORIZON CIRCLE NE State Surcharge Fee 1.00
FRIDLEY,MN 55421
(612)545-8483 TOTAL 81.00
Payment(s)
Credit-ER22-000158-804086033 H41/z81
OWNER
TAPIA,PABLO
101 HORIZON CIR 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.
08/15
Applicant Date /2022
08/16
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/16/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000158
ADDRESS : 101 HORIZON CIR NE PERMIT APPLICANT:
PIN: 233024330036 ELVIA ORTIZ
LOT 6 BLK 4 CARLSONS
LEGAL DESC: SUMMIT MANOR NORTH 101 HORIZON CIRCLE NE
ADD,SUBJ TO EASE OF REC FRIDLEY,MN 55421
PERMIT TYPE : Remodel (612)545-8483
PROPERTY TYPE: Remodel
CONSTRUCTION TYPE: Moving outlets and
adding a new one
NOTES:
CALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED
INSPECTIONS.
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 Rough In
Inspection
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.