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2006-00027CITY OF MONTICELLO 505 WALNUT STREET MONTICELLO, MN 55362- 295-3060 YAX: (763)295-4404 ADDRESS 406 7TH ST E PIN 155029002070 LEGAL DESC LAURING HILLSIDE TERRACE LOT 007 BLOCK 002 PERMIT TYPE BUILDING PROPERTY TYPE COMMERCIAL CONSTRUCTION TYPE ACCESSORY STRUCTURE VALUATION 20,000.00 NOTE: REFER TO PERMIT #06-9256 APPLICANT FULFILLMENT SYSTEMS INC 406 7TH ST E PO BOX 636 MONTICELLO, MN 55362-0636 OWNER ALLIED PROPERTY MANAGEMENT 20125 COMMERCIAL BLVD. #1000 ROGERS, MN 55374 - 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 MERUMMIERM 2006-00027* DATE ISSUED: 02/28/2006 BUILDING PERMIT FEE 340.53 PLAN REVIEW 221.34 STATE SURCHARGE, BLDG VAL 10.00 TOTAL 571.87 Payment(s) CHECK 19115 571.87 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF MONTICELLO BUILDING PERMIT PERMIT # DEVELOPMENT SERVICES — BUILDING INSPECTIONS, " PID# 505 Walnut Street, Suite L Monticello. MN 55362 City Hall (763) 295-2711 Ild& Dept. (763)295-3060 Fax (763) 295-4404 SITE ADDRESS: Building Information: ZONING: Legal: Lot Block Plat ° Addition PROPERTY OWNER NAME: '' "'' s Phone: of construction: $ Address•. City: State: T Zip: CONTRACTOR NAME: License #: Phone: Address: i ? " " City: State: - Zip: ENG./ARCHITECT NAME: License #: Phone: Address: City: State: Zip: PLUMBER NAME: License #: Phone: Address: City: State: Zip: MECHANICAL NAME: Phone: Address: City: State: Zip: Tvae of Work: Building Information: Q New Duplex Addition Estimated Value Alteration of construction: $ Repair Occupancy Class:: Move Construction. Type: Other Sq. Ft.: Use: Description of Work: No. Stories: Single Family Res. Units: Duplex Max. Occ. Load: Multi -Family Commercial Fire Suppression System Required: ri Industrial El Residential Garage ES11N O11NO Other Description of Work: This permit is for only work as described. Building Official approval required prior to any changes in scope of work or modifications from work as described herein. 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. 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. Applicant'Signature Date Build Signature Date Type of Payment: Cash Credit Car[f- Check #j ii Receipt # U FEES: Building Permit , Plan Review " State Surcharge BUILDING TOTAL Plumbing Permit Fixtures State Surcharge PLUMBING TOTAL Mech. Permit Fixtures State Surcharge MECHANICAL TOTAL BLDG. PERMIT SUBTOTAL] Sewer Access [SAC] Water Access (WAC] Water Meter Water Meter Tax METER TOTAL Sewer/Water Connection Contractor License Check Assessment Fee Utility Locate Fee Lift Station Park & Trail Fee TOTAL FEES TO BE PAID r'' t.4t1F&u4t tt$t't4r$tY411FH${e+k fF ]F X'irPf i'C f'C it ie 9r R$tit tkdt&fLie it irdeW TRUNK FEES [Normally Assessed] Water Sanitary Sewer Storm Sewer TOTAL TRUNK FEES c S14J 401700 MONTICELLO DEVELOPMENT SERVICES PERMIT # BUILDING INSPECTIONS 11 PID # 155-0Z'1_00 505 WALNUT STREET, SUITE 1 MONTICELLO, MN 55362 City Hall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404 BUILDING PERMIT APPLICATION Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. SITE ADDRESS: 40 6 E&i7T1+ 5'T ZONED., E LEGAL: Lot Aba Block LD1 Plat LP ykLfflC-- flLl. Property Owner Name:CWI%AL 5tC,0PL 8Wt'31TWA6Phone: Q1W l -,108 -S°kOM Address: 30% N. CATTLd " n'h - ju %90 City: p State: EL Zip: Fvu.FlLLMC'0T 5%(mms Nc, 4C,i'7Tr+ Si S- 1 PoSox G36 Monl Mn/ Contractor Name: Gk AJ6Q_AR W 1 ft5, Phone: %12-6-70 -0 to I State License #: Address: II ity: /AAFt O(Zwe State: /Ak/ Zip: 553611 Eng./Architect Name: F R Pc F'V1 1 AJF-_ fQ1fk;(9'_ Phone: jfk? 61,5 6Llcx. Address: by 1( C_ N4rA City: 1 C State: 1-L Zip: Plumber Name: - Phone: — Address: City: State: —Zip: Mechanical Name: Phone: r - Address: _ City: — State: — Zip: T e of Work TWe of Construction Building Information New Single Family Use of building ) (f tee*1M Addition Duplex of stories ` / Alteration Multi -Family Floor area sq. ft. Repair Commercial Move Industrial Estimated value Other C`j Residential Garage of construction $ 00'CUO Other tpescription of work: AM 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. 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. pplicant Signature I ,e) 0fr;' Application Date SEE BACK FOR PLUMBING AND MECHANICAL INFO. APPLICANT! Please show fixtures that are annlicable. Fire Suppression : (if applicable) PlumbinP: (if applicable) Mechanical: (if applicaA/ !- ' No. Fixture Type No. Fixture Type No. Fixture Type Sprinkler Heads Water Closet (toilet) Furnace Other /Special FS Device Bathtub Gas Meter of Stories: Lavatory (wash basin) Range Hood Shower Gas Range Fire Sprinklers: Kitchen Sink Water Heater C Dishwasher Laundry Tub Air Conditioning Mech. Fireplace Clothes Washer Water Heater Bathroom(s) Exhaust Fan Air ExchangerFireAlarm: (if applicable) n1v Urinal Dryer j Drinking Fountain Gas Opening w/o Fixture No. Fixture Type Floor Drain Slop Sink of Devices Hydrants Other TOTAL TOTAL 7 Per Fixture) 7 Per Fixture) FQR CITX USE ONLY Bldg. Permit 3V19, 5: Plan Review a-zi . , State Surcharge , y Bldg. Total Plmg. Permit Fixtures Surcharge Plmg. Total Mech. Permit Fixtures Surcharge Mech. Total Sewer Access Water Access Water Meter Meter Sales Tax Meter Total Sew & Water Permit Trunk Water Trunk Sanitary Sewer Trunk Storm Sewer Lift Station TOTAL FEES: Tree Ordinance Handout Yes No Other Handouts El Yes No Division: Square Footage: of Stories: of Residential Units: Maximum Occupancy: Fire Sprinklers: Yes ' No ALLlllulNAL uvruluVIA VA: Valuation: 0 Construction Type: VOW Occupancy Group: Division: Square Footage: of Stories: of Residential Units: Maximum Occupancy: Fire Sprinklers: Yes ' No Off -Street Parking Covered: C Off -Street Parking Uncovered: . 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Site Drainage Basement Under Floor Slab Drywall Building Final Plumbing Rough -In OTHER: COMMENTS: NSPECTION RESULTS: REASONS: INSPECTOR: APPROVED - PROCEED WORK NOT READY UNABLE TO INSPECT NO PERMIT ISSUED CORRECT WORK - PROCEED CORRECTIONS INCOMPLETE CORRECT WORK - CALL FOR ® UNABLE TO ACCESSINSPECTION STOP WORK ORDER e SEE ABOVE DO NOT OCCUPY Please call (763) 295 - 3060 for next inspection — 24 hours in advance. i00101002111uuuuu MONTICELLO PERMIT #: ADDRESS: I I CITY OF MONTICELLO OBSERVATION NOTICE CONTRACTOR:/ /Yc U L i44KW l if r, LEU DATE TIME Scheduled s ComPleted 1 (2-7/7/0 6 CONTRACTOR:/ /Yc U L i44K W l if r, LEU Footings Foundation - Forms & Rebar Foundation - Backfill Basement Under Floor Slab Plumbing Rough -In COMMENTS: 17& 05-NO10.5 Mechanical Rough -In Framing Insulation/Energy Conserv. Drywall Mechanical Final Plumbing Final Site Drainage Building Final Please call (763) 295 - 3060 for next inspection — 24 hours in advance. ALL 4016M KS -ro E, Oa( INSPECTION RESULTS: REASONS: INSPECTOR:_ gy APPROVED - PROCEED WORK NOT READY UNABLE TO INSPECT NO PERMIT ISSUED CORRECT WORK - PROCEED CORRECTIONS INCOMPLETE CORRECT WORK - CALL FOR INSPECTION UNABLE TO ACCESS STOP WORK ORDER — SEE ABOVE DO NOT OCCUPY Please call (763) 295 - 3060 for next inspection — 24 hours in advance.