Fillable One- and Two-Family Dwellings (City of Fridley, MN)

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One- and Two-Family Dwellings (City of Fridley, MN)

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BROWSE CITY OF FRIDLEY, MN (MN) FORMS

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REI 16 (7/15) REI_16_OneAndTwoFamily (Contractor) (Revised 10/13/15)
443 Lafayette Road North
St. Paul, MN 55155-4342
Phone: (651) 284-5026
www.dli.mn.gov
For Office Use Only
Amount of Check:
Check Number:
PermitTRAK Number:
ELE
Request for Electrical Inspection (REI) (permit)
One- and Two-Family Dwellings
Fields marked with an asterisk * are required (as applicable).
Incomplete, inaccurate, or illegible forms may be returned to the submitter.
* TODAY’S DATE
* Check One Box: New Bldg or Existing Bldg
* Project Location (number & street name)
* Project County
(Please enter only the township name
or the city name, not both)
* Project City:
* Project Zip
* Owner Name
* Owner Phone
Owner Cell
Owner E-mail
* Company Type (check one box)
Electrical Contractor Technology System Contractor
* Company Name
* Company Address
* City
* State
* Zip Code
* Company Phone
Company Cell
* Company E-mail
Contact Person and Phone Number
* Project Description (Scope of work, service size, quantity of
feeders and circuits, job numbers, or other vital information to
help the electrical inspector make timely inspection service)
*Single Inspection
Other than Rough-in?
Ready Now or
Will Schedule
*Rough-in Inspection
Required?
Yes or No
Directions to Project Site
Project Site (Contact Person and Phone Number)
Electrical Utility
TOTAL INSPECTION FEE from REI fee worksheet, or $35 multiplied
by the number of required inspection trips, whichever is greater.
Enter Inspection Fee Here >>
*
A surcharge of $1 is imposed on every permit effective 7/1/15
as per M.S. § 326B.148, in addition to the inspection fee.
Surcharge Fee >>
$ 1.00
* Grand Total (Inspection Fee plus Surcharge Fee)
*
Requests for Electrical Inspection (REI) with a fee of $250 or less expire 12 months from the filing date. The installer must have the work completed within the 12 month
period or submit another REI that includes the inspection fee for the uncompleted work. Inspection fees do not carry over from an expired REI to a new REI.
A service charge of $30 will be added for all dishonored checks.
This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1-800-342-5354 (DIAL-DLI) Voice or TDD (651) 297-4198.
Please submit REI forms together with the applicable fees to:
City of Fridley, 7071 University Avenue NE, Fridley, MN 55432
REI 16 (7/15) REI_16_OneAndTwoFamily (Contractor) (Revised 10/13/15)
443 Lafayette Road North
St. Paul, MN 55155-4342
Phone: (651) 284-5026
www.dli.mn.gov
Request for Electrical
Inspection (REI) (permit)
Inspection Fee Worksheet
Item Description
Quantity
Fee
Total***
0 to 400 Amp Power Source $ 35/source
401 - 800 Amp Power Source $ 60/source
Over 800 Amp Power Source $ 100/source
0 to 200 Amp Circuit or Feeder $ 6/feeder or circuit
Over 200 Amp Circuit or Feeder $ 15/feeder or circuit
New One- or Two-Family Dwelling
(up to 30 circuits and feeders per unit)
$ 100/dwelling unit
New One- or Two-Family Dwelling
(additional circuits over 30 per unit)
$ 6/feeder or circuit
Existing One- or Two-Family Dwelling
(where 15 or more feeders or circuits
are installed or extended per unit)
$ 100/dwelling unit
Existing One- or Two-Family Dwelling
(where less than 15 feeders or circuits
are installed or extended per unit)
$ 6/feeder or circuit
Reconnected Existing Circuit or Feeder (for panelboard replacements)
$ 2/feeder or circuit
Separate bonding inspection $ 35/inspection
Inspection of concrete-encased grounding electrode $ 35/inspection
Technology circuits & circuits less than 50 volts 75¢/device or apparatus
Additional inspection trip(s) $ 35/inspection trip
Investigative Fee (enter values in the Quantity and Fee columns)
Other…
Other…
Other…
Other…
TOTAL INSPECTION FEE is the fee calculated above,
or $35 multiplied by the number of required inspection trips, whichever is greater.
Enter Inspection Fee Here & on REI >>
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One- and Two-Family Dwellings (City of Fridley, MN)

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Completed 23 January 2021

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