HomeMy WebLinkAboutResidential Permit Card (2) CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED:08/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000165
ADDRESS : 670 59TH AVE NE
PIN: 233024130038
LEGAL DESC:LOT 5 BLK 3 DONNAYS LAKEVIEW MANOR ADD, 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:
CALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR
REQUIRED INSPECTIONS.
APPLICANT
Description Total Cost
Additional Inspection Trips 40.00
CENTERPOINT ENERGY Minimum Permit Fee 40.00
6161 GOLDEN VALLEY ROAD Credit-Minimum -40.00
BLDG A State Surcharge Fee 1.00
GOLDEN VALLEY,MN 55422
TOTAL 41.00
(763)512-2765
Payment(s)
Credit-ER22-000165 -8055968133iL1/z41
OWNER
SEDLAK,MICHAEL
670 59TH 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.
08/22
Applicant Date /2022
08/22
Bldg Insp Date /2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 08/22/2022
FRIDLEY,MN 55432
(763)572-3604 FAX: (763)502-4977 Permit#ER22-000165
ADDRESS : 670 59TH AVE NE PERMIT APPLICANT:
PIN: 233024130038 CENTERPOINT ENERGY
LOT 5 BLK 3 DONNAYS
LEGAL DESC: LAKEVIEW MANOR ADD, 6161 GOLDEN VALLEY ROAD BLDG A
SUBJ TO EASE OF REC GOLDEN VALLEY,MN 55422
PERMIT TYPE : Furnace and Air (763)512-2765
Conditioning
PROPERTY TYPE: Furnace and Air
Conditioning
Wire/Reconnect Daikin
CONSTRUCTION TYPE: Furnace and Air
Conditioner
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:8 AM TO 4:30 PM
Inspection type jDate linspector 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.