2008-00236CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
703) Lys-J000 VAX: ("/0 3) 1y5-44U4
2 0 0 8- 0 0 2 3 6
DATE ISSUED: 05/19/2008
ADDRESS 406 7TH ST E
PIN 155029002070
LEGAL DESC LAURING HILLSIDE TERRACE
LOT 007 BLOCK 002
PERMIT TYPE PLUMBING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE LAWN SPRINKLER
VALUATION 3,250.00
WATER METER I (MAIN) 1
APPLICANT PLUMBING BASE FEE, COMM
STATE SURCHARGE, PLBG VAL
100.00
1.62
B & D PLUMBING &HEATING
4091 MACIVER AVENUE NE
WATER METER l (MAIN) 550.00
ST MICHAEL, MN 55376- MN STATE SALES TAX (MTRI) 35.75
763) 497-2290 TOTAL 687.37
Payment(s)
CHECK 536560 687.37
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
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES PERMIT
BUILDING INSPECTIONS P I DL
505 WALNUT STREET, SUITE I
MONTICELLO, MN 55362
City Hall (763) 295-271 1 Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING PERMIT APPLICATION
Please Print- INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: yoG " r`` 5 .. ZONED
LEGAL: Lot Block PlatJ// :: Property
Owner Name: '"r>rl t ;%, Phone: 7&3- Address:
1:f6"41- 'f City: State:;; Zip {r Contractor
Name: B11) pjµ,,,;, /W* S A. , Phone: C-76s) 4k7-7-7-110 State
License #: S9tg-'7 pw Address:
Nlys hta,, AJ E:. City: 5l. rvtre4..Q State: rtit Zip: S3 le Eng./
Architect Name: Phone: Address:
City: State: Zip: Plumber
Name: Phone: Address:
City: State: Zip: Mechanical
Name: Phone: Address:
City: State: Zip: Type
of Work Type of Construction Building Information New
Ll Single Family Use of building Addition
Duplex of stories Alteration
Multi -Family Floor area sq. ft. Repair
Commercial Estimated value Move
Industrial o f construction S 3, z $o - oa Other
RCSldenti al Garage Is this a "M aster Pia n" per M N Rule Other
1300.0160 Subp.6.? Yes No/ ( Description
of work: u
K/ D 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 ofMinnesota; and
that I understand that this application is not apermit and that thework is not to startwithout a perinit. I further understand that the work will he
in accordance with the plan that has been approved by the Building Ofticial. I agree that anydamage caused to public property including but not
limited to curb, sidewalk, public utilities and signs will be repaired at my expense. ik
ti.4'. M -i F. W lu( Loo f' a eff (4 t vJl itc; S f,4.sr I.H . Call t-l (r. & S L "D; fl SEE
BACK FOR PLUMBING A
icant Signature App ication Date APPLICANT:
Please show fixtures that a e applicable 4
1
I
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
Kitchen Sink
Dishwasher
Gas Range
Water Heater
Air Conditioning
Laundry Tub Mech. Fireplace
Fire Alarm: (if applicable) Clothes Washer Bathroom(s) Exhaust Fan
Water Heater Air Exchanger
Urinal Dryer
No. Fixture T r p e
Drinking Fountain Gas Opening w/o Fixture
Devices
Floor Drain
th erOther
Slop Sink
Hydrants
TOTAL TOTAL
9 Per Fixture) 9 Per Fixture)
FOR CITY USE ONLY
FEES:
Bldg. Permit
Plan Review
State Surcharge
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 Scwcr
Trunk Storm Sewer
Lift Station
TOTAL FEES:
Tree Ordinance Handout Yes No
Other Handouts Yes No `
ADDITIONAL INFORMATION:
Valuation:
Construction Type:
Occupancy Group:
Division:
quare rootage
of Stories:
Maximum Occupancy:
Fire Sprinklers:
Off -Street Parking Covered:
Off -Street Parking Uncovered:_j
Yes Y, No
Building Officials c gC'(, _IZ7
BPT: