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2010-00215CITY OF MONTICELLO 505 WALNUT STREET MONTICELLO, MN 55362- 295-3000 r AN: I /631 2y5-44U4 REPRINTED ON 9/19/2013 2 0 1 0- 0 0 2 1 S* DATE ISSUED: 06/22/2010 ADDRESS 9320 CEDAR ST S PIN 155169001010 LEGAL DESC MONTICELLO BUSINESS CTR 3RD ADDN LOT 001 BLOCK 001 PERMIT TYPE MECHANICAL PROPERTY TYPE COMMERCIAL CONSTRUCTION TYPE MECHANICAL FIXTURES VALUATION $ 15,600.00 NOTE: PROVIDE A NEW RTU-39 AND DUCTWORK TO UPC ROOM. REMOVE DUCTWORK FROM EXISTING RTU-32 SERVING UPC ROOM AND RE -BALANCE AIRFLOW FOR RTU-32. APPLICANT ST CLOUD REFRIGERATION 604 LINCOLN AVENUE NE ST CLOUD, MN 56304- 320) 251-6861 OWNER WAL-MART REAL EST BUSINESS TR 1301 LOTH ST SE PROP TAX DEPT 48013 AR 72716-0555 MECHANICAL BASE FEE, COMM 195.00 STATE SURCHARGE, MECH VAL 7.80 TOTAL 202.80 PAID WITH CHECK 4 041035 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. SUBM 1-91 NAME, MONTICELLO DEVELOPMENT SERVICES BUILDING INSPECTIONS 505 WALNUT STREET. SUITE I MONTICELLO, MN 55362 City Hall (763) 295-2711 PERMIT # PID Building Inspections (763) 295-3060 Fax (763) 295-4404 BULL DING P' PdWT APPLICATION Please Print - INCONIPLETE APPLICATIONS WILL NOT BE ACCEPTED. WALMART SUPERCENTER STORE #3624 SITE ADDRESS:9320 ZONEDCEDARSTREET, MONTICELLO, MINNESOTA 55362 LEGAL: Lot Block Plat REALTY MANAGER ALICIA BLAGG Property Owner Name: WALMART REAL ESTATE BUSINESS TRUST Phone: 1-479-204-2311 Address: 2001 S.E. LOTH STREET City: BENTONVILLE ,Mate: AR Zlli: 72716 REALTY MANAGER ALICIA BLAGG 1-479-204-2311 ALICIA.BLAGG@WAL-MART.COM TO BE DETERMINED' Contractor Name: , t.l'' k f 1 `t. ,r' ,n Phone: t ) 1. .) yStateLicense#: /:I c c f., t_; F t ._ ,r. i. « I - g ;t lJ1 ; , i 1 > ' %r >_ City: r . It State: I_. fu' .... Zip: DUANE HENDERSON, P.E. Eng./Architect Name: HENDERSON ENGINEERS Phone: 1-913-742-5000 Address:1321 LENEXA DRIVE City: LENEXA State: KANSAS Zip: 16214 Plumber Name: TO BE DETERMINED Ji"d Phone: J Address: City: State: Zip: TO BE DETERMINEDMechanicalName: > 1/-Cr ,<; _--cr, Phone: Address: City: State: Zip: Tyree of Work Type of Construction Buildin2 Information B New ROOFTOP UNIT ADDED Single Family Use of building MERCANITLE Addition Duplex of stories 1 Alteration Multi -Family Floor area sq. tt. 203, 091 Repair 8 Commercial Estimated value Move Industrial of construction $ 15,600 Other Residential Garage Is this a "Master Plan" per NIN Rule Other 1300.0160 Subp.6' Yes U No Description of work: PROVIDE NEW RTU-39 AND DUCTWORK TO UPC ROOM. FOR ROOM & SIDING PERMITS, REMOVE DUCTWORK FROM EXISTING RTU-32 SERVING UPC ROOM AND RE -BALANCE PLEASE PROVIDE # OF SQUARESAIRFLOWFORRTU-32. OF S TED BY-eWNER'S AGENT, CHRISTOPHER D. STURGES, CPD, MECHANICAL DESIGNER 83 III N DRIVEf ENEXADKA % 66214 742-5426 EMAIL: CHRIS.STURGES@HEI-ENG.COM FAX: 1-913-742-5001 (ONE OF TEN CHRIS' IN THE OFFICE PLEASE INLCUD 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 of the 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 further understand that the work will be in accordance with the plan that has been approved by the Building Official. 1 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. 2010 - 05-13 SEE BACK FOR PLUMBING AND MECHANICAL INFO. LAST Applicant Signatut'e CHRISTj_OPHER D. STURGES d.Al•o. _i l_i.\t• Application Date vietisesiiowji.vttiresthat iji-e me. Fire Stippre,,odon , (if applicable) I (if applicable) Na, Fixture Type Sprinkler Heads Other I Special FS Device Fire Alarm.- (if applicable) No. Fixture Tvp 4 of Devices Other 131de. Permit Plan Review State Surcharge Bldg. Total Plrn,,. Permit C, Fixtures Surcharge Pling. Total Mech. Permit Fixtures Surcharge Mech. Total Sewer Access Water Access Water - Meter deter Sales Tax Meter Total Sew & Water Permit TrUnk Water Trunk Sanitary Sewer Trunk Storin Sewer Lift Station TOTAL FEES: No. Fixture Type Water Closet (toiler) Bathtub Lavatory ( wash basin) Shower Kitchen Sink Dishwasher Laundry Tub Clothes ff"asher Water Heater Crinal Drinking Fountain Floor Drain Slop Sink Hydrants TOT4L S9 Per Fixture) Alechanical. ( if applicable) No. Fixture "rune Furnace Gas Ifeter Range Hood Gas Range Water Heater S TONAir Conditionh g Alech. Fireplace Buthroom(s) EvItaust Fan Air Exchanger Myer Gas Opening ivvo f1mire T07AL S 9 Per Fixture) ree Ordinance Handout 13 Yes 11 No they Handouts 0 Yes 0 No ADDITIONAL INFORMATION: Valuation: Construction Type: Occupancy Group: Division: Square Footage: Of Stories: of Residential Units: Ntaxinium Occupancy: Fire Sprinklers: 0 Yes El No Off -Street Parking Covered: Off -Street Parking Uncovered: Buildin- Official BPT: