2008-00136CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
Z9n-J000 VAX: 1'/0S1295-44U4
ADDRESS 406 7TH ST E
PIN 155029002070
LEGAL DESC LAURING HILLSIDE TERRACE
LOT 007 BLOCK 002
PERMIT TYPE PLUMBING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE ALTERATION
Z 0 0 8- 0 0 1 3 6
DATE ISSUED: 04/11/2008
VALUATION : $ 1,000.00
NOTE: REMOVE TWO WA"I'ER CLOSETS SO THEY CAN INCREASE; "EIIEIR STALL SIZE TO CONFORM TO ADA REQUIREMENTS
APPLICANT
B & D PLUMBING & HEATING
4091 MACIVER AVENUE NE
ST MICHAEL, MN 55376-
763) 497-2290
OWNER
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. #1000
ROGERS, MN 55374-
PLUMBING BASE FEE, COMM
STATE SURCHARGE, PLBG VAL
TOTAL
Payment(s)
CHECK 536397
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
100.00
0.50
100.50
100.50
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES PERMIT #
BUILDING INSPECTIONS PID #
505 WALNUT STREET, SUITE 1
MONTICELLO, MN 55362
City Hall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404
IRAWL /i11ir e x
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: ZONEDr
LEGAL: Lot Block Plat
Property Owner Name: /%!Trl'
R'
t %i `' ' ' Phone:
Address: 2, f,' 1 /rr
41"? City State ",/ Zip._
Contractor Name: j t'.:.,,. . t'. Phone:
State License #: SY Lt -,
L ti:.,.: City: !.iLI.,l rc' State: G/,C Zip: Address: 'f r qs' a t-ic -y Y
EngJArchitect Name: Phone:
Address: City: State: Zip:
Plumber Name: Phone:
Address: City: State: Zip:
Mechanical Name: Phone:
Address: City: State: Zip:
Type of Work TypS of Construction Building Information
New Single Family Use of building
Addition Duplex of stories
D Alteration Multi -Family Floor area sq. ft. .{
Repair Commercial Estimated value
Move Industrial of construction
Other Residential Garage Is this a "Master Plan" per MN Rule
Other 1300.0160 Subp.6.? Yes T No
Description of work:
I hereby apply for a permit for construction as described and acknowledge that the information I have provided above is complete and accurate. IagreethattheworkwillbeconductedinconformancewiththeordinancesoftheCityofMonticelloandwiththeLawsoftheStateofMinnesota; I further that the work will
and that I understand that this application is not a permit and that the work is not to start without a permit. understand
has been by the Building Official. I agree that any damage caused to public property including butbeinaccordancewiththeplanthatapproved
not limited to curb, sidewalk, public utilities and signs will be repaired at my expense.
Applicant Signature
4,1,
Application Date
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
APPLICANT. Please show fixtures that are
Fire Suppression: (if applicable) I Elumbine: (if applicable)
No. Fixture Tyn
Sprinkler Heads
Other / Special FS Device
Fire Alarm: (if applicable)
No. Fixture Type
of Devices
Other
Bldg. Permit
Plan Review
State Surcharge
Bldg. Total
Plmg. Permit
Fixtures
Surcharge
Phng. Total
Mech. Permit
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
AL FEES:
Fixture Tye
Water Closet (toilet)
Bathtub
Lavatory (wash basin)
Shower
Kitchen Sink
Dishwasher
Laundry Tub
Clothes Washer
Water Heater
Urinal
Drinking Fountain
Floor Drain
Slop Sink
Hydrants
TOTAL
9 Per Fixture)
Mechanical. (if applicable)
No. Fixture Type
Furnace
Gas Meter
Range Hood
Gas Range
Water Heater
Air Conditioning
Mech. Fireplace
Bathraom(s) Exhaust Fan
Air Exchanger
Dryer
Gas Opening w/o Fixture
TOTAL
9 Per Fixture)
Tree Ordinance Handout a Yes q No
Other Handouts ci Yes 0 No
Valuation: l)
Construction Type: Type: Al -
Occupancy Group:
Division:
Square Footage:
of Stories:
of Residential Units:
Maximum Occupancy:
Fire Sprinklers: Yes No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official" #li; fl-L
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