2020-00680CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX (763) 295-4404
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2020-00680*
DATE ISSUED: 01/07/2021
Permit #: 2020-00680
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 ALTERATION
VALUATION 200,000.00
NOTE: INSTALL NEW LIGHTING AND CEILING GRID, NEW MILL WORK, NEW FLOORING. LOWER EXISTING HEADS TO DROP
DOWN BELOW NEW CEILING GRID. SEPARATE PERMITS REQUIRED FOR ELECTRICAL, FIRE SPRINKLERS, AND MECHANICAL.
VISION CENTER)
APPLICANT
POWERHOUSE RETAIL ESTATE BUSINESS T
PO BOX 8050
CROWLEY, TX 76036-
817) 297-7050
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
BUILDING PERMIT FEE
PLAN REVIEW
STATE SURCHARGE, BLDG VAL
TOTAL
Payment(s)
CREDIT CARD
1,647.38
1,070.80
100.00
2,818.18
2,818.18
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF 57 - 0
Monticello Permit No.
BUILDING SAFETY Date
COMMERCIAL / INDUSTRIAL BUILDING PERMIT APPLICATION
505 Walnut Street, Suite #1 Monticello, MN 55362
SITE ADDRESS
9320 Cedar Street
LEGAL DESCRIPTION
LOT 001 BLOCK 001
PLAT MONTICELLO BUSINESS CENTER 4TH ADDN
OWNER (Name)
Walmart Real Estate Business Trust
OWNER'S E-MAIL ADDRESS:
CONTRACTOR (Name)
Phone: 763-295-3060 Fax: 763-295-4404
PI.D. NUMBER 155-207-001010
ZONDED
Address)
PO Box 8050 Bentonville, AR 72712
Tel. No.)
Address)
Powerhouse Retail Services 812 South Crowley Road Ste A Crowley, TX 76036
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
CONTRACTOR'S E-MAIL ADDRESS:
lori.moore@powerhousenow.com
ARCHITECT (Name)
William Douglas Hurley
ARCHITECT'S E-MAIL ADDRESS
marie.vermillion@pb2ae.com
ENGINEER (Name)
Keith William
ENGINEER'S E-MAIL ADDRESS:
Tel. No.)
817) 297-7050
Address)
2809 Ajax Ave.Ste 100 Rogers,AR 7275
Tel. No.)
479.878.3651
Address)
2809 Ajax Ave, Ste 100
Tel. No.)
DESCRIPTION OF p
WORK: 1!IS00J4 CrAl-rr_f- FAn00EIL
New liqhtinq and ceilinq qrid, new millwork, new floorinq. Lowerinq of existinq
sprinkler heads to drop down below new ceiling grid
TYPE OF WORK (Please Circle One)
New
Addition
teration
Repair
Move
Other
ADDITIONAL INFORMATION
Valuation: 200,000
Construction Type:
VB
Occupancy Group:
M
Square Footage: 1 007
of Stories: 1
Maximum Occupancy:
TYPE OF CONSTRUCTION (Please Circle One)
ommercia
Industrial
Institutional
Multi -Family
Other
Fire Suppression: Yes No
MISC. NOTES:
this is estimated at this time
ESTIMATED VALUE OF CONSTRUCTION
200,000.00
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 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 MA. ,' ar wYMimGCtl'L
Print Name / Title Marie Vermillion, permit coordinator for pb2
Date 08.07.2020
Approved by Building Official:
Approved by Fire Marshal
Date Approved:
NO. DEPT
PLAN
SHEET/ CODE
COMMENTS
SPEC. REFERENCE
S'ECTION
SEPARATE PERMIT APPLICATIONS AND SEPARATE PERMITS ARE
REOUIRED: Verify that separate permits have been issued by the City for:
MechanicaVHVAC
General
MR 1300 •
Plumbing (more than 5 fixtures must be reviewed by the State)
Review Note
City Code ' Electrical Work (State Board of Electricity)
Fire Suppression
Fire Alarm
Signs
APPROVED FILE COPY
REVIEWED FOR CODE COMPLIANCE
SUBIECTTO FIELD INSPECTION
Date:
Vanature•