2019-02080 BUILDING*2019-02080*
ISSUED: 10/09/2019
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2019-02080
ADDRESS :6721 4TH ST NE
PIN :143024240058
LEGAL DESC :RICE CREEK TERRACE PLAT 3
:LOT 3 BLOCK 3
PERMIT TYPE :BUILDING
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :ROOFING
VALUATION $4,161.00:
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE.
CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH
FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY
LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
CALL FOR FINAL INSPECTION WITHIN 10 DAYS AFTER COMPLETION.
TEAR OFF + REROOF
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.
Applicant____________________________Date________
Bldg Insp____________________________Date ________
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
AGREEMENT AND SWORN STATEMENT
OWNER
JOHNSON DONALD D & JOANN
6721 4TH ST NE
FRIDLEY, MN 55432
CLEAR CHOICE RESTORATION
2722 HWY 694 SUITE 100
NEW BRIGHTON, MN 55112-
(612) 259-7177
Minnesota State License #: GENR-BC635558
APPLICANT BUILDING PERMIT FEE 111.25
FIRE SURCHARGE 4.16
STATE SURCHARGE, BLDG VALUE 2.08
LICENSE SURCHARGE 5.00
TOTAL 122.49
Payment(s)
122.49CHECK6901
10/9/19