2013-00351CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 406 7TH ST E
PIN 155029002070
LEGAL DESC LAURING HILLSIDE TERRACE
LOT 007 BLOCK 002
PERMIT TYPE BUILDING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE ALTERATION
VALUATION $ 12,080.00
NOTE: ADD Tl-IREE OFFICES TO EXISTING SPACE
APPLICANT
RILEY CONSTRUCTION
1161 WAYZATA BLVD E
216
WAYZATA, MN 55391-
612) 290-0388
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
2 0 1 3- 0 0 3 5 1
DATE ISSUED: 07/11/2013
BUILDING PERMIT FEE 236.65
PLAN REVIEW 153.82
STATE SURCHARGE, BLDG VAL 6.04
TOTAL 396.51
PAID WITH CHECK # 3593
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES
PERMIT #_- .1
BUILDING INSPECTIONS PID #
505 WALNUT STREET, SUITE I
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: -- D& E A 5 l 711-
LEGAL: Lot Block Plat
ZONED
Property Owner Name: V(dJT _ R-5-w-,T Phone: 76S . `alb . `(00V
Address: 2 (. ; ) rA&0., M 1 ti jl -Z City: State: M KI Zip: S 53 )` -
Contractor Name: `OL J! Phone: CALL -2TL) - 0 S cMi
State License #:
Address: +,; C, i W(YY2, t°l SW8 F- t ZJ6 City: U,16JZAJYJ State: MiJ Zip: <, 371 L
Eng./Architect Name: jQ0VV--
Address:
Plumber Name: CJ'0t--
Address:
Mechanical Name: $oL*4(L-
Address:
Tvne of Work
New
Addition
i Alteration
Repair
Move
Other
City:
City:
City:
Tvne of Construction
Single Family
Duplex
Multi -Family
V' Commercial
Industrial
Residential Garage
Other
Description of work:
AM l CAI"tic r1 - .m iSil S fi`
Phone:
State: Zip:
Phone:
State: Zip:
Phone:
State: Zip:
Building Information
Use of building
of stories p,
Floor area sq. ft.
Estimated value
of construction
Is this a "Master Plan" per MN Rule
1300.0160 Subp.6.? Yes O'No
FOR ROOF & SIDING PERMITS
PLEASE PROVIDE # OF
SQUARES OF SHINGLES &/OR
SIDING
1 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 ail I be conducted in conformance with the ordinances of the Cite of Monticello and with the Laws of the State of N,Iinnesota:
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 work will
be in accordance with the plyi iiini-kag-4 Official. I agree that and' damage caused to public property including but
not limited to CLIrb. sldewaI4, jt1 I titi itl sin 1 }rr)
1)1jic,"1tion
I t m), expense.
l SEE BACK FOR PLUMBING
2013
AND MECHANICAL INFO.
App Date
I((\
4 '•
lam. l,
I
i„y'
APPLICANT: Please showfrxtures that are applicable. Fire
Sum-essiou : (if applicable) Plumbing: (if applicable) Mechanical: (f applicable) No.
Fixture Tvne Sprinkler
Heads Other/
Special FSDevice Fire
Alarm: (if applicable) No.
Fixture Tvpe of
Devices Other
FEES:
Bid-.
Permit Plan
Review State
Surcharge Pima.
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 No.
Fixture TVDe l-
1 ater Closet (toilet) Bathtub
Lavatory (
wash basin) Shower
Kitchen
Sink Dishwasher
Laundhy
Tiib Clothes
Washer Water
Heater Urinal
Drinking
Fountain Floor
Drain Slop
Sink Hydrants
TOTAL
9
Per Future) No.
Fixture Tvpe Furnace
Gas
dieter Range
Hood Gas
Range JVater
Heater Air
Conditionin, dlech.
Fireplace Bathroom(
s) Exhaust Fan Air
Eychanger Dryer
Gas
Opening av/o Future TOTAL
9
Per Fivure) X
X. FRSE` -NL OC 'I' .IT Tree
Ordinance Handout Yes No Other
Handouts Yes No Plmg.
Total ADDITIONAL INFORMATION. Valuation:
Construction
Type: Occupancy
Group: Mech.
Total Division: — Square
Footage: of
Stories: / of
Residential Units: Maximum
Occupancy: Meter
Total Fire Sprinklers: jg( Yes No Off -
Street Parking Covered: Off -
Street Parking Uncovered: Building
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