Fillable Non-Dwellings and Multi-Family Dwellings (City of Fridley, MN)

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Non-Dwellings and Multi-Family Dwellings (City of Fridley, MN)

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REI 16 (10/15) REI_16_MultiFamilyAndNonDwellings (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)
Non-Dwellings and Multi-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: Contractor or Registered Employer * Check One Box: New Bldg or Existing Bldg
* Check One Box: Multi-Family Dwelling or Non-Dwelling (all projects other than dwellings)
* Permit Sub-Type (check one box)
Agricultural Commercial Government Industrial Institutional Recreational Technology
* Project Location (number & street name)
* Project Township:
(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 Registered Employer Class B Installer
* Company License/Registration No.
* 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
R
equired?
Yes or No
Directions to Project Site
Project Site (Contact Person and Phone)
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 (10/15) REI_16_MultiFamilyAndNonDwellings (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
Over 600 Volts
0 to 400 Amp Power Source $ 70/source
401 - 800 Amp Power Source $ 120/source
Over 800 Amp Power Source $ 200/source
0 to 200 Amp Circuit or Feeder $ 12/feeder or circuit
Over 200 Amp Circuit or Feeder $ 30/feeder or circuit
New Multi-Family Dwelling Unit
(with up to 20 circuits and feeders per unit)
$ 70/unit
New Multi-Family Dwelling Unit
(additional circuits over 20 per unit)
$ 6/feeder or circuit
Existing Multi-Family Dwelling Unit
(where 10 or more feeders or circuits are installed or extended)
$ 70/unit
Existing Multi-Family Dwelling Unit
(where less than 10 feeders or circuits are installed or extended)
$ 6/feeder or circuit
Reconnected Existing Circuit or Feeder (for panelboard replacements)
$ 2/feeder or circuit
Transformer (Light, Heat or Power) rated up to 10KVA $ 15/transformer
Transformer (Light, Heat or Power) rated in excess of 10KVA $ 30/transformer
Manufactured Home Park (Lot Supply) $ 35/pedestal
RV Pedestals (all circuits originating in pedestal incl. factory circuits) $ 6/circuit
Street, Parking Lot, Outdoor, Traffic Standards $ 5/standard
Power Supplies for Signs & Outline Lighting $ 5/power supply
Technology circuits & circuits less than 50 volts 75¢/device or apparatus
Retrofit of existing lighting fixtures 25¢/fixture
Additional inspection trip(s) $ 35/inspection trip
Investigative Fee (enter values in the Quantity and Fee columns)
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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Non-Dwellings and Multi-Family Dwellings (City of Fridley, MN)

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Completed 23 January 2021

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