2020-00014 REPAIR*2020-00014*
ISSUED: 01/02/2020
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2020-00014
ADDRESS :541 RICE CREEK BLVD NE
PIN :143024210019
LEGAL DESC :HOLIDAY HILLS
:LOT 5 BLOCK 2
PERMIT TYPE :BUILDING
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :REPAIR
VALUATION $14,900.00:
NOTE: PLEASE CALL 763.572.3604 WITHIN 10 DAYS OF COMPLETION OF WORK TO SCHEDULE AN INSPECTION.
12 ANCHORS (WALLS), 12 WALERS, 2 HORIZ CARBON FIBER STRAPS
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
BARNETTE ROBERT L & JANE E
541 RICE CREEK BLVD NE
FRIDLEY, MN 55432
JESSE TREBIL FOUNDATION SYSTEMS
60335 US HWY 12
LITCHFIELD, MN 55355-
(320) 974-8729
Minnesota State License #: GENR-BC446489
APPLICANT BUILDING PERMIT FEE 251.25
FIRE SURCHARGE 14.90
TOTAL 266.15
Payment(s)
266.15CREDIT CARD 3188 00014
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
ISSUED: 01/02/2020
Permit # 2020-00014
PERMIT APPLICANT::ADDRESS 541 RICE CREEK BLVD NE
JESSE TREBIL FOUNDATION SYSTEMS143024210019:PIN
HOLIDAY HILLS:LEGAL DESC 60335 US HWY 12
LOT 5 BLOCK 2:LITCHFIELD, MN 55355-
BUILDING:PERMIT TYPE
(320) 974-8729RESIDENTIAL:PROPERTY TYPE
REPAIR:CONSTRUCTION TYPE
VALUATION :$14,900.00
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM
INSPECTORDATEINSPECTION TYPE COMMENTS
FRAMING
INSULATION
FINAL
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.