2008-00248CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 YAX: (763) 295-4404
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
VALUATION 2,500.00
NOTE: REPLACEING EXISTING PVC VENT PIPING TO CAST IRON.
APPLICANT
B & D PLUMBING & HEATING
4091 MACIVER AVENUE NE
ST MICHAEL, MN 55376-
763) 497-2290
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. #1000
ROGERS, MN 55374-
AGREEMENT AND SWORN STATEMENT
1 agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. 1 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
2 0 0 8- 0 0 2 4 8
DATE ISSUED: 05/22/2008
PLUMBING BASE FEE, COMM
STATE SURCHARGE, PLBG VAL
TOTAL
Payment(s)
CHECK 536594
100.00
1.25
101.25
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES
BUILDING INSPECTIONS
PERMIT
PIA #
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: llo(, ZONED
LEGAL: Lot Block Plat
Property Owner Name: Phone:
Address: City: State: Zip:
Contractor Name: , ,K.:,I N s 04.C. Phone: (-r4.3 yg-7-zz7a
State License #: 69z87 /4-Of
Address: y ys 61.„C4 NE City: yI,G,,, State: ,n) Zip: sY3-r
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 Single Family Use of building
Addition Duplex of stories
j Alteration Multi -Family Floor area sq. ft.
Repair Commercial Estimated value
Move Industrial of construction
Other Residenti a] Garage Is this a "NJ aster Plan" per M N Rule
Other 1300.0160 Subp.6.? Yes No
Description of work:
Ale
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 apennit and that the work 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 any damage caused to public property including but
not limited to curb, sidewalk, public utilities and signs will be repaired at my expense.
SEE BACK FOR PLUMBING
S z/bAND MECHANICAL INFO.
A licant Signature Application Date
APPLICANT: Please show fixtures that ate applicable.
Fire Suppression : (if'applicable) Plumbing: (if applicable) Mechanical: (if applicable)
No. Fixture Type No. Fixture Tvpe No. Fixture Tvpe
Sprinkler Heads Water Closet (toilet) Furnace
Other / Special FS Device Bathtub Gas Meter
Lavatory (wash basin) Range Hood
Shower GasGas Range
Kitchen Sunk Water Heater
Dishwasher Air Conditioning
Laundry Tub Mech. Fireplace
Fire Alarm: (if applicable) Clothes Washer Bathroonn(s) Exhaust Fan
Water Heater Air Exchanger
Urinal Dryer
No. Fixture
Drinking Fountain Gas Opening w/o Fixture
DevicesofDevices Floor D rain
Other.
Slop Sink
Hydrants
TOTAL TOTAL
9 Per Fixture) 9 Per Fixture)
FEES:
Bldg. Permit
Plan Review
State Surcharge
Plmg. Permit
Fixtures _
Surcharge
Mech. Permit
Fixtures _
Surcharge
Sewer Access
Water Access
Water Meter
Meter Sales Tax
Sew & Water Permit
Trunk Water
Trunk Sanitary Sewer
Trunk Storm Sewer
Lift Station
TOTAL FEES:
Bldg. Total
Plmg. Total
Mech. Total
Meter Total
Tree Ordinance Handout Yes No
Other Handouts Yes No
of Stories:
Maximum Occupancy:
Fire Sprinklers: Yes No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: