2010-00081CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
295-3U6U VAX: (763) 295-44U4
REPRINTED ON 9/17/2013
ADDRESS 406 7TH ST E
PIN 155029002070
LEGAL DESC LAURING HILLSIDE TERRACE
LOT 007 BLOCK 002
PERMIT TYPE FIRE SAFETY
PROPERTY TYPE MULTI FAMILY
CONSTRUCTION TYPE FIRE ALARM SYSTEM
VALUATION 3,745.00
NOTE: INSTALL ANEW FIRE ALARM / SPRINKLER MONITOR
APPLICANT
ELECTRO WATCHMAN INC
1 WATER ST W
ST PAUL, MN 55107-
651) 310-1268
ALLIED PROPERTY MANAGEMENT
20125 COMMERCIAL BLVD. 41000
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 1 0- 0 0 0 8 1*
DATE ISSUED: 03/15/2010
BUILDING PERMIT FEE 103.09
PLAN REVIEW 67.01
STATE SURCHARGE, BLDG VAL 1.87
TOTAL 171.97
PAID WITH CC # 4713
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES
BUILDING INSPECTIONS
505 WALNUT STREET. SUITE I
MONTICELLO. MN 55362
City Hall (763) 295-2711
PERMIT #
PID #
Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING P*RMIT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: -; C(;, E 7 {'• 5I ZONED
LEGAL: Lot Block - Plat
Property Owner Name: VA4-rAc,e P011eT P,0Acm-tc-Z-S Phone: 7 f z8' 74:,D
Address: p 7 S C r,r e Ce w u Src- ioo City: State: n ,Ki Zip:s's .-37y
Contractor Name: vArcj_( ,,Ki -L&%C_ Phone: (,,e--7 310 iz u
State License #: T5 00 zz`l
Address: ( rc,z sr City: _(T fu,.VL_ State: L,.,s Zip: S 16 7
Eng./Architect Name: Phone:
Address: City: State: Zip:
Plumber Name: Phone:
Address: City: State: Zip:
Mechanical Name: Phone:
Address: City: State: Zip:
Tyne of Work Tyne of Construction Building Information
New Single Family Use of building
Addition Duplex of stories
Alteration Multi -Family Floor area sq. ft.
Repair 1, Commercial Estimated value
Move Industrial of construction $ 3 7 Ll
be Other 2 1 acA 2n, Residential Garage Is this a "Master Plan" per MN Rule
Other 1300.0160 Subp.6.? Yes No
Description of work: FOR ROOF & SIDING PERMITS
tot i l bL vsrAn,ti A .v PLEASE PROVIDE # OF
SQUARES OF SHINGLES &/OR
SIDING
I hcrebN applN for a permit for construction as described and ackrim ledge that the information I have provided above is complete and accurate. I
agrce that the work will be conducted in conformance NN-ith the ordinances of the Cite of Monticello and Faith the Laws of the State of Minnesota:
and that I understand that this application is not a permit and that the work is not to start without a permit. I further understand that the ork vg ill
be in accordance with the plan that has been approved by the Building Official. I agree that any damage caused to public propertn including but
not limited to curb. sidev%alk. public utilities and signs %v ill be repaired at my expense.
Applicant Si at e
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
Application Date
Ai'YLICAAI. Please show fixtures that are
Fire Suppression : (if applicable) I Plumbing: (if applicable)
No. Fixture Type
Sprinkler Heads
Other/Special FSDevice
Fire Alarm: (if applicable)
No. Fixture
of Devices
Other
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 Sewer
Trunk Storm Sewer
Lift Station
TOTAL FEES:
No. Fixture Tvpe
Water Closet (toilet)
Bathtub
Lavatory (wash basin)
Shower
Kitchen Sink
Dish washer
Laundry Tub
Clothes Washer
Water Heater
Urinal
Drinking Fountain
Floor Drain
Slop Sink
Hydrants
TOTAL
9 Per Fixture)
ble.
Mechanical: (if applicable)
No. Fixture Tvpe
Furnace
Gas Meter
Range Hood
Gas Range
Water Heater
Air Conditioning
Mech. Fireplace
Bathroom(s) Exhaust Fan
Air Exchanger
Dryer
Gas Opening w/o Fixture
TOTAL
9 Per Fixture)
Tree Ordinance Handout Yes No
Other Handouts Yes No
ADDITIONAL INFORMATION:
Valuation: 3 7 4111. S,;
Construction Type:
Occupancy Group:
Division:
Square Footage:
of Stories:
9 of Residential Units:
Maximum Occupancy:
Fire Sprinklers: Yes No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: / /
02-26-'10 16:05 FROM-EWI SALES DEPT FAX 651-310-1296 T-578 P0002/0002 F-842
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