2018-00500CITY OF MONTICELLO MHURNINEIRM
505 WALNUT STREET * 2 0 1 8- 0 0 5 0 0*
DATE ISSUED: 07/23/2018
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2018-00500
ADDRESS 9320 CEDAR ST S
PIN 155169001010
LEGAL DESC MONTICELLO BUSINESS CTR 3RD ADDN
LOT 001 BLOCK 001
PERMIT TYPE FIRE SAFETY
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE FIRE SUPPRESSION
VALUATION 2,380.00
NOTE: DEMO 2 AND ADD 7.
APPLICANT BUILDING PERMIT FEE 88.25
PLAN REVIEW 57.36
GENERAL SPRINKLER CORP
STATE SURCHARGE, OTHER VAL 1.19
1863 BUERKLE ROAD
WHITE BEAR LAKE, MN 55110-
TOTAL 146.80
651) 484-5903
Payment(s)
CHECK 518795 146.80
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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
G`CITY OF SUN
1Tllfi Nil. M[04i ll®
BUILDING SAS Dift 6 • 26 i
COMMERCIAL / INDUSTRIAL. BUILDING PERMIT APPLICATION
505 Walnut Stre4 Suite #1 MontleeIIo, MN 55362 Pirrone: 763-295-3060 Fax: 763-295-4404
SITE ADDRESS
Q13 2 a 6EDA R. STR CS -r PA W ( Gcu.551562.
LEGAL DESCRIPTION
LOT BLOCK PI.D. NUMBER
PLAT ZONDED
O R (Name) (Address)
W Jr L VA Amy'_ OS• re 3& 2 -
OWNER'S E-MAIL ADDRESS: (Tel. No.)
CONTRACTOR (Name) (Address)
Gaa pp)mgL12 &P, P863 6o KL-9 Pig I
L
Ar-k r—_ m,v CONTRACTOR'
S LICENSE NUMBER (IF APPLICABLE) 5 5110 eon
ID51-H 54- V CONTRACTOR'
S E-MAILADDRESS: (Tel. No.) ere -red
s?rin K&r ..cv. 5-o-t- zS- q ggjj o ARCHITECT (Name) (
Address) ARC€IITECT'
S E-MAIL ADDRESS (Tel. No.) ENGINEER (Name) (
Address) ENGINEER'S
E-MAIL ADDRESS: (Tel. No.) I DESCRIPTION
OF WORK: \ FP
I
a-Fp2—
TYPE OF WORK (Please Circle One)
New
Addition
Alteration
Repair
Move
Other
TYPE OF CONSTRUCTION (Please Circle One)
Commercial
Industrial
ADDITIONAL INFORMATION
Valuation: ®
on
Construction Type:
Occupancy Group:
Square Footage:
of Stories:
Maximum Occupancy:
Institutional
Multi -Family
Other
Fire Suppression: Yes No
ESTIMATED VALUE OF CONSTRUCTION
MISC. NOTES:
Div Z Spafpic'm
ADP -;>
IV 3 fN;#'s c5
23'3C>!`
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 lic rty ' cludi g but not limited to curb, sidewalk, pub-
lic utilities and signs will be rep ' e
Applicant Signature - -
a d
Print Name / Title
Date
Approved by Building Official
Date Approved: