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2024-02575CITY OF MONTICELLO 505 WALNUT STREET MONTICELLO, MN 55362- 763) 295-3060 FAX: (763) 295-4404 ADDRESS 3657 REDFORD LN PIN 155151005110 LEGAL DESC : GROVELAND 4TH ADDN LOT 011 BLOCK 005 PERMIT TYPE : BUILDING PROPERTY TYPE SINGLE FAMILY -DETACHED CONSTRUCTION TYPE : ROOFING & WINDOWS & OR DOORS NOTE: PHOTOS AND CONTRACTOR MUST BE ON SITE AT FINAL INSPECTION: BUILDING DEPARTMENT APPROVAL REQUIRED FOR ALL METAL ROOFING. 13 SQARES OF ROOFING 1 WINDOW REPLACED, SAME OPENING APPLICANT TOP GRADE EXTERIORS 3224 ROOSEVELT ST NE MINNEAPOLIS, MN 55418- 612) 703-5290 OWNER BOURGEOIS, RAMONA 3657 REDFORD LN MONTICELLO, MN 55362- 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 i ing bu of limited to curb, sidewalk, public utilities nd s' a repaired at my expense. Applicant Date l i — Bldg Official Date INERIM99M 2024-02575* DATE ISSUED: 1 V13/2024 Permit #: 2024-02575 ROOFING FEE 150.00 DOOR AND OR WINDOW 150.00 STATE SURCHARGE, BLDG FIX 1.00 TOTAL 301.00 Payment(s) CREDIT CARD 4754 301.00 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF Monticeflo BUILDING SAFETY SITE ADDRESS 6 LEGAL DESCRIPTION LOT Permit No. Date ' 13 `. Ll If RESIDENTIAL BUILDING PERMIT ADDITION / ALTERATION / REMODEL Re-{4 d LIB hlo«1W M N 35 z 6 & i+ BLOCK PLAT OWNER' S NAME ( Address) Cc.'" f 1 of I C CONTRACTOR (Address) 0924T CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) PI.D. NUMBER Contact) Email) PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR Tel. No.) Tel. No.) IF APPLICABLE, SPECIFY CONTRACTOR Lic # CHECK ALL THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER LAUNDRY TUB SOFTENER OTHER TOTAL # OF FIXTURES REMINDER: IF YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED B Y A MASTER PLUMBER.) MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR IF APPLICABLE, SPECIFY CONTRACTOR CHECK ALL THAT APPLY: FURNACE A/C FIREPLACE BATHFAN TOTAL # OF FIXTURES Bond # DESCRIPTION OF WORK: D 'o O v ESTIMATED VALUE OF CONSTRUCTION Approved by Building Official: 1 Total Due Date Approved: $ APPLICANT SIGNATURE Date l l— 0 2" t 505 Walnut Street, Suite #1 Monticello, NIN 55362 Phone: 763-295-3060 Fax: 763-295-4404