2011-00387CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
295-30U k'A.20 (763) 295-44U4
REPRINTED ON 2/21/2013
2011-003817*
DATE ISSUED: 09/06/2011
ADDRESS 604 6 1/2TH ST
PIN 155139002080
LEGAL DESC VINE PLACE
LOT 008 BLOCK 002
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -ATTACHED
CONSTRUCTION TYPE ROOFING
VALUATION 12,000.00
NOTE: FINAL INSPECTION TO BE CALLED IN A MAXIMUM OF 48 HOURS AFTER COMPLETION
APPLICANT
NEW EXTERIORS BY SMA
10701 93RD AVENUE NORTH
SUITE E
MAPLE GROVE, MN 55369-
763) 315-8900
OWNER
BIG LAKE LUMBER INC
791 ROSE DR
PO BOX 336
BIG LAKE, MN 55309-0336
BUILDING PERMIT FEE 221.81
STATE SURCHARGE, BLDG VAL 6.00
TOTAL 227.81
PAID WITH CHECK # 023817
AGREEMENT AND SWORN STATEMENT
I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. I understand that the work
will be in accordance with the plan that has been approved by
the Building Official. I agree that any damage caused to
public property including but not limited to curb sidewalk,
public utilities and signs will be repaired at my expense
Applicant
Date
Bldg Official. Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
Please Print -
NEW EXTERIORS, INC Fax:763-315-8908 Sep 1 2011 02:48pm P020/027
DEVELOPMENT SERVICES
13UILDING rNSPECTIONS PERMif M
PIA 4
505 WALNTJT STREET, SUITE t
MONTICELLO, MN 55362
City ball (763) 295-271 l Building Inspections (763) 295-3060 Fax (763) 295-4404
WILL NOT BE ACCEPTED.
SITE ADDRESS:
LEGAL: Lot Block plat
ZONED
Property Owner Name:
Address: Phone:
City: State: Zip:
Contractor Name: 10!'S c S/t;4 '
State License #: Phone: -2 3 —3 .5 , c o7
Address:
City: < State: nis` Zip:
EngJArchitect Name:
Address:
Plumber Name:
Address:
Mechanical Name: _
Address:
T e o V4-orlk
New
Addition
El Alteration
Repair
Move
Other
Description o(work.
Phone:
City: State: zi_D:
Phone:
City: State: Zip:
Phone:
City;
Type of Construction
Single Family
DuplexlTwin
Multi -Family
Commercial
Industrial
Residential Garage
Other
o26 S6 tomes
Zip:
RuildingI.infarrnaiion Use
of building of
stories Floor
area sq, ft. Estimated
value f
of
construction $ ! Is
tli[s a "Master Plant" per - -!N Rule I300.
0160 Subp.6? O Yes E) No FOR
ROOF SIDING PE12 XITS, PLEAOV;
IDE # OF SQUARES OF
SHINGLES &-/O.R SIDING. 1
hereby apply for a permit for construction as described and acknowledge that the info, —nation I have provided above is complete and accurate. 1 agreetha: the work will be conducted in conformance with the ordinartces of the City of Monticello and Aith the Laws of the State of'Nginneso:a; andthatIunderstandthatthisapplicationisnotapern, it and that the work is not to start without a Fermin- I further unde;,;and that the work willbeinaccordancewiththeplanthathasbeenapprovedbytheBuildingOfficial. 1 agree that any da nags caused to public properry inc sding butnotlimtourb, sidewalk. public utilities and signs will be repaired at my expense. SEE
BACK FOR PLUMBING Applicant
Signa -4,1ND MECHANICAL INFO. ApplicationDate1