2008-00231CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
03) 2y5-S000 VAX: I /031 2y)-44U4
Z 0 0 8- 0 0 2 3 1
DATE ISSUED: 05/20/2008
ADDRESS 406 7TH ST E
PIN 155029002070
LEGAL DESC LAURING HILLSIDE TERRACE
LOT 007 BLOCK 002
PERMIT TYPE BUILDING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE ANTENNA
VALUATION $ 30,000.00
NOTE: INS'IALI,ATION OF NINE - 7" ANTENNAAI' 145' AGL EXISTING MONOPOLE, WI I'll APPURTENANT' EQUIPMENT INSTALLED
ON STEEL PLATFORM LOCATED WITITIN EXISTING FENCED COMPOUND.
APPLICANT
VINCO INC
5201 EAST RIVER ROAD
P.O. BOX 907
FOREST LAKE, MN 55025-
651) 982-4642
OWNER
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. 41000
ROGERS, MN 55374-
BUILDING PERMI-1- FEE 468.28
PLAN REVIEW 304.38
STATE SURCHARGE, BLDG VAL 15.00
TOTAL 787.66
Payment(s)
CHECK 1526 787.66
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 T:-IAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES
BUILDING INSPECTIONS
505 WALNUT STREET, SUITE I
MONTICELLO, MN 55362
City Hall (763) 295-271 1
PERMIT #
P I D #
Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING PERMIT APPLICATION
Please Print- INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 406 East 7th Street ZONED 4_,zt -ri-a-1
LEGAL: Lot 07 Block *2 Plat LAURING H--LLSIDE TERRACE I '
Property Owner Name: Crown Castle International Phone: 847-916-1100
Address: 9450 W. Bryn Mawr, Suite 340 City: Rosemont IL Zip: 60018State:
o (RFiti
Contractor Name: V V\CO —2— VX e , Phone:
curl 9 SZ b Z w
State Licens #: A,
Address: City: r State: MN Zip: 1
5
Eng./Architect Name: Ulteig Engineers Phone: 763-259-7804
Address: 5201 East River Rd #308 City: Minneapolis State: MN Zip: 55421
Plumber Name: N/A Phone:
Address: City: State: Zip:
Mechanical Name: N/A _ Phone:
Address: City: State: Zip:
Type of Work Type of Construction Building Information
New Single Family Use of building ,n ttt4-e-n s
Addition Duplex of stories N/A
Alteration Multi -Family Floor area sq. ft. 2500
Repair IV Commercial Estimated value
Move Industrial of construction S L)1
Other Residential Garage Is this a "Master Plan" per M N Rule
Other 1300.0160 Subp.6.? Yes No
Description of work: T-Mobile antenna installation:
Installation of nine 7' antennae at 145' AGL on existing monopole, with appurtenant
equipment installed on steel platform located within existing fenced compound.
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 thatthis application is not apermit and that thework is not to startwithout 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 anydamage caused to public property including but
ted to curb, sidewalk, public utilities and signs will be repaired at my expense.
r
SEE BACK FOR PLUMBING
Applic nt Si nature Application Date
APPLICANT: Please show fixtures that ate applicable.
Fire Suppression : (if applicable) Plumbing: (if applicable) Mechanical: (if applicable)
No. Fixture Type No. Fixture Type No. Fixture Type
Sprinkler Heads Water Closet (toilet) Furnace
Other/Special FS Device Bathtub Gas Meter
Lavatory (wash basin) Range Hood
Shower Gas Range
Kitchen Sink Water Heater
Dishwasher Air Conditioning
Laundry Tub Mech. Fireplace
Fire Alarm: (if applicable) Clothes Washer Bathroom(s) Exhaust Fan
Water Heater Air Exchanger
Urinal Dryer
No. Fixture
ces
Drinking Fountain Gas Opening w/o Fixture
Devices
Floor D rain
Other
Slop Sink
Hydrants
TOTAL TOTAL
9 Per Fixture) S9 Per Fixture)
FEES:
Bldg. Permit
State Surcharge
Bldg. Total
Ming. 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 Yes No,
ADDITIONAL INFORMATION:
Valuation:
Construction Type: f
Occupancy Croup:
Division:
of Stories:,
Maximum Occupancy:
Fire Sprinklers:
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Yes No;
1
Building Official C .47 /C
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