2019-00509CITY OF MONTICELLO
505 WALNUT STREET * 2 0 1 9- 0 0 5 0 9*
MONTICELLO, MN 55362-
DATE ISSUED: 08/22/2019
763) 295-3060 FAX: (763) 295-4404
Permit #: 2019-00509
ADDRESS : 2721 OAKVIEW CT
PIN : 155080006110
LEGAL DESC : OAK RIDGE
LOT 011 BLOCK 006
PERMIT TYPE : PLUMBING
PROPERTY TYPE : SINGLE FAMILY -ATTACHED
CONSTRUCTION TYPE : WATER HEATER
NUMBER OF PLUMBING FIXTURES 1
APPLICANT PLUMBING BASE FEE, RESI 50.00
PLUMBING FIXTURES 9.00CARBONPLUMBING
STATE SURCHARGE, PLBG FIX 1.003095162NDLANENW
ANDOVER, MN 55304- TOTAL 60.00
763) 427-7680 Payment(s)
CREDIT CARD 5181 60.00
OWNER
LOCKE, WILLIAM & DEBBIE
2721 OAKVIEW CT
MONTICELLO, MN 55362-
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.
CITY OF
i Monticello
BtJIIDiNC SAFETY
Permit No.
Date
RESIDENTIAL BUILDING PERMIT
ADDITION / ALTERATION / REMODEL
SITE ADDRESS
0/ -K v, -ems ef
LEGAL DESCRIPTION
LOT
PLAT
BLOCK PI.D. NUMBER
OWNER (Name) (Address)
W I. k( ca rn tOG41C
CONTRACTOR (Name) (Address)
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) r., G owr, "f/I-
CC 1.437 33
PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: TOILET
LAUNDRY TUB SOFTENER
CONTRACTOR Y
Lie #
Tel. No.)
Tel. No.)
6 /2-?/-9--; -04
SINK BAR SINK BATHTUB/SHOWER
OTHER
TOTAL # OF FIXTURES
REMINDER: IF YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE P ULLED
BYA MASTER PLUMBER)
MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: FURNACE
TOTAL # OF FIXTURES Bond #
DESC TION OF WORK:
P [4 c-e Lda
ESTIMATED VALUE OF CONSTRUCTION
D®® e
DO
Applicant Signature<-/--
505 Walnut Street, Suite #1 Monticello, MN 55362
CONTRACTOR
A/C FIREPLACE
Approved by Building Official:
Date Approved:
Date
BATHFAN
Phone: 763-295-3060 Fax: 763-295-4404