2021-00143CITY OF MONTICELLO MMMUNERNM
505 WALNUT STREET * 2 0 2 1- 0 0 1 4 3
DATE ISSUED: 03/12/2021
MONTICELLO, MN 55362-
763) 295-3060 FAX (763) 295-4404
Permit #: 2021-00143
ADDRESS 8818 FARMSTEAD AVE
PIN 155259001070
LEGAL DESC HAVEN RIDGE
LOT 007 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF PLUMBING FIXTURES 16
APPLICANT PLUMBING BASE FEE, RESI 50.00
PLUMBING FIXTURES 144.00
NORTHWOODS PLUMBING
STATE SURCHARGE, PLBG FIX 1.00
30799 73RD STREET
PIERZ, MN 56364-
TOTAL 195.00
612) 282-6369 Payments)
CHECK 14024 195.00
OWNER
HAVEN RIDGE LLC
1313 HILLWIND RD
FRIDLEY, MN 55432-
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.
CITY OF
M0I 6&10
BUILDING SAFETY
PERMIT #
505 WALNUT STREET, SUITE 1 MONTICELLO, MN 55362
City Hall (763) 295 2711 Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING PERMIT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 8818 Farmstead Avenue
LEGAL: Lot Block
Property Owner Name: Capstone Homes
Address: 14015 Sunfish Lake Blvd
Contractor Name: Northwoods Plumbing, Inc.
State License #: PC644397
Address: 30799 73rd St
EngJArchitect Name:
Address:
Plumber Name: Northwoods Plumbing, Inc.
Address: 30799 73rd St
Mechanical Name:
Address:
Tvve of Work
66 New
Addition
Alteration
Repair
Move
Other
Description of work:
New House- Complete Plumbing
ZONED
Plat
Phone: 763-427-3090
City: Ramsey State: MN Zip: 55303
Phone: 612-282-6369
E-Mail:loe northwoods a@yahoo.com
City: Piers State: MN Zip: 56364
City:
City: Pierz
City:
Tvne of Construction
6t Single Family
Duplex
Q Multi -Family
Commercial
Industrial
Other
Phone:
State Zip:
Phone: 612-282-6369
State:MN Zip:56364
Phone:
State: Zip:
Buildine Information
Use of building SFw
of stories 2
Floor area sq. & Lower. 654 1-10,540
Estimated value
of construction $9,500.00
I hereby apply for a permit for construction as described and acknowledge that the information I have provided above is complete and accurate. I
agree that the work will be conducted in conformance with the ordinances of the City of Monticello and with the Laws ofthe State of Minnesota;
and that I understand that this application is not a permit and that the work is not to start without a permit. I Iluther 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.
W14.- / SEE BACK FOR PLUMBING
03/06/2021 AND MECHANICAL INFO.
Applicant Signature Application Date
APPLICANT: Please show_(Wures that are applicable,
Fire Suppression : (Iapplicable) Plumbing (ifapplicable) Mechanical: rf applicable) No.
Fixture Tvae No. Fixture TvDe No. Fixture Tvae Sprinkler
Hearts 3 Water Closet (toilet) Furnace Other /
Special FS Device I Bathtub Gas Meter 4
Lavatory (wash basin) Range Hood 2
Shower Gas Range 1
Kitchen Sink Water Heater I
Dishwasher Air Conditioning Laundry
Tab Mech. Fheplace Clothes
Washer Bathrooms) Exhaust Fan Fire
Alarm: (of applicable) Water Heater Air Exchanger Urinal
Dryer No.
Fixture Tvoe Drinking Fountain Gas Opening wlo Fixture Floor
Drain of
Devices Slop Sink Other
1 Outside Faucet 16
TOTAL TOTAL FOR
CITY USE ONLY Future
Owner Information: Tree Ordinance Handout Yes No Other
Handouts Yes No Name:
Address:
City:
ADDITIONAL INFORMATION: Valuation:
State:
Zip: Construction Type: Occupancy
Group: Phone #:
Division: Square
Footage: of
Stories: of
Residential Units: Maximum
Occupancy: Fire
Sprinklers: Yes No Off -
Street Parking Covered: Off -
Street Parking Uncovered: Building
Official BPT: / !