2015-00361CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX (763) 295-4404
ADDRESS 9320 CEDAR ST S
PIN 155169001010
LEGAL DESC MONTICELLO BUSINESS CTR 3RD ADDN
LOT 001 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE TEMPORARY
VALUATION $ 500.00
APPLICANT
WAL-MART REAL EST BUSINESS TR
1301 LOTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
OWNER
WAL-MART REAL EST BUSINESS TR
1301 LOTH ST SE
PROP TAX DEPT #8013
AR 72716-0555
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
iiiiiiiiiiiiiiiiiiiimillillillillillillillilI
2015-00361*
DATE ISSUED: 06/26/2015
BUILDING PERMIT FEE
STATE SURCHARGE, BLDG VAL
TOTAL
Payment(s)
CHECK 3103
24.91
0.25
25.16
25.16
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Permft No. Vontimno 03/23/2015 BUILDING SAFETY
Dato___ COMMERCIAL / INDUSTRIAL
BUILDING PERMIT APPLICATION 505 Walnut
Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-2954404 SITE ADDREi4 — -
Walmart parking
lot - 9320 Cedar Street LEGAL DESCRIPTION
LOT BLOCK
PI.D. NUMBER PLAT ZONDED
O W
NvR (Name) (Address) j Walmart
Stores - 702 SW 8th Street, Bentonville, AR 72716 OWNER'S
E-MAIL ADDRESS: (Tel. No.) Kent Oliver@wal-
mart.com 479-204-2581 CONTRACTOR (Name) (
Address) Chris Ulmer
2109 59th Avenue South, Fargo, ND 58104 CON P'
RA 'b Uk aAC'EN,'SE, N(%'ViA DER (IF APPLIC-AiR E) CONTPUtCTOc 'S
E-fvl A:I ,ADDRESS: ulmerc@tntfireworks.com
ARCHITECT (Name)
ARCHITECT'S
E-[MAIL ADI RLSS ENGINEER Name) ---- -----
UESC :I'
TI01'q ()F erection of tent WORK: Address)
Address)
Tel.
No.) - - - -- -
701-400-
7661 Tel. No.)
Tel. No.)
TYPE OF WORK (Please Circle One)
New
Addition
Alteration
Repair
Move
Other erection of tent
TYPE OF C7TRUCTION (Please Circle One)
Commercial
Industrial
Institutional
Multi -Family
Other
ADDITIONAL INFORMATION
Valuation: $
2009.56
Construction Type:
Occupancy Group:
Square Footage: _
of Stories:
Maximum Occupancy:
Fire Suppression: Yes No
ESTIMATED VALUE OF CONSTRUCTION
MISC. NOTES:
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 under-
stand that this application is not a permit and that the work is not to start without a permit. I further un-
derstand that the work will be in accordance with the plan that has been approved by the Building Offi-
cial. I agree that any damage caused to public property including but not limited to curb, sidewalk, pub-
lic utilities and signs will be repaired at my expense.
Applicant Signature 4
AA
eta
I A
Print Name / Title Cis ri S Vr 1 Ivc
Date
Ay
Approved by Building Official:
G
Date Approved:
AssortMents
ASSOrtMelft
Table
Fountains
Fouffths
Table
8
Fountahn
Fountains
Table
Novatty
Table
10Ad"ns IT
Assotbuents
Assodmaift
Awastments
Table
3
FounWsw
Table
2
Fountalns
FourftIns
FOU14911M)
Table
No"Ity
Ameftaft Me
GIVWMY
Place WI items together by category priced lowest to highest
Your highest priced assortment will be on the end of table 6.
ZTS
You will want the Right side of your tent to look exactly like the Left side.
The tent, located in the Wal-Mart parking lot at 9320 Cedar Street,
Monticello, will occupy approximately 10 parking spaces, but no more
than 12.
The tent will be anchored down using 5001b cement weights on the
corners and center sections.
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