2009-00539CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
29n- WOU N AX: I /b3) 29n-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 LAWN SPRINKLER
VALUATION S 1.00
NOTE: BACK FLOW 110:VENTER AND RAIN SENSOR REQUIRED.
DO NOT PLACE IN TI IE PUBLIC ItIGI I f OF WAY
APPLICANT
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. 41000
ROGERS, MN 55374-
OWNER
ALLIED PROPERLY 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
2 0 0 9- 0 0 S 3 9
DATE ISSUED: 07/01/2009
PLUMBING BASE FEE, COMM
STATE SURCHARGE, PLBG VAL
TOTAL
Payment(s)
CREDIT CARD 8003
100.00
0.50
100.50
100.50
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES (qPERMIT
BUILDING INSPECTIONS 11 PIS r
505 WALNUT STREET, SUITE 1
MONTICELLO, MN 55362
City Hall (76)) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING PERMIT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: C& A 1' C ZONED
LEGAL: Lot Block Plat
Property Owner Name:', ,h,;,r , /L Phone:
Address:/L
p
rfd City: _ f , , State:, Zip: 3
Contractor Name: - .5 . Phone:
State License 9:
Address:, ' -' 1 ` City: - / StateZip: 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 Alteration
Multi -Family Floor area sq. ft. Repair
Commercial Estimated value Move ''
s Industrial of construction $ Master
Other,,,,4ii F,r?,t jt Residential Garage Is this a Plan" per MN Rule Other
1300.0160 Subp.6.? Yes No r
scription
of work: FOR ROOF & SIDING PERMITS PLEASE
PROVIDE # OF t '
SQUARES OF SHINGLES &/OR SIDING
I
hereb% apply for a permit for construction as described and acknovv°ledge that the information I have proN ided aboN e is complete and accurate. I agree
that the cork % ill be conducted in conformance v ith the ordinances of the City' of Monticello and \ ith the Lavv s of the State of Minnesota: and
that I understand that this application is not a permit and that the vti ork is not to start \\ ithout a permit [further understand that the a orl: N\ ill be
in accordance \y ith the plan that has been approved b\ the Building Official. I agree that anv damage caused to public propene including but not
limited to cut b. sidevv alk. public utilities and signs vN ill be repaired at m\ expense. SEE
BACK FOR PLUMBING rir.''
I _ = (- GAND MECHANICAL INFO. Applicant Signature
Application Date SO
APPLICANT: Please show fixtures that are applicable.
Fire Suppression : (if applicable) Plumbina: ff applicable) Mechanical: (if applicable)
No. Fixture Type No. Fixture Tvpe No. Fixture Type
Sprinkler Heads Water Closet (toilet) Furnace
Other/Special FS Device Bathtub Gas Meter
Lavatory (wash basin)
Shower
Kitchen Sink
Dishwasher
Range Hood
Gas Range
Water Heater
Air Conditioning
Launrhy Tub Mech. Fireplace
Fire Alarm: (if applicable) Clothes Washer Bathroom(s) Exhaust Fan
Water Heater Air Exchanger
No. Fixture Type
Urinal
Drinking Fountain
Dryer
Gas Opening w/o Fixture
Floor Drain
of Devices Slop Sink
Other Hydrants
TOTAL TOTAL
S9 Per Fzxture) 9 Per Fiviure)
Bldg. Permit
Plan RevieN
State Surcharge
Bldg. Total
Plmg. Permit
Fixtures
Surcharge
Plmg. Total
Mech. Permit
Fixtures
Surcharge
Mech. Total
SeNN er Access
Water Access
Water Meter
Meter Sales Tax
Meter Total
SeNv& Water Permit
Trunk Water
Trunl: Sanitary Sewer
Trunk Storm Sewer
Lift Station
TOTAL FEES:
Tree Ordinance Handout Yes No
Other Handouts Yes No
ADDITIONAL INFORMATION:
Valuation:
Construction Type:
Occupancy Group:
Division:
Square Footage:
of Stories:
of Residential Units:
Maximum Occupancy:
Fire Sprinklers: Yes No
Off -Street Parkin,- Covered:
Off -Street Parking Uncovered:
Building Official
BPT: