8848 Farmstead Avenue 155-124-001080CITY OF MONTICELLO I BUILDING PERMIT PERMIT # 02-6301
505 Walnut Street/Suite 1/Monticello, MN 55362 (763) 295-3060
PID# 155-124-001080
Site Address: 8848 Farmstead Avenue Zone: R-l
Legal: Lot 8 Block 1 Plat Klein Farms 6tb Addition
Property Owner Name: Corey & Monica Derby Phone # 295-6214
Address: 8848 Farmstead Avenue City: Monticello . State: MN Zip: 55362
Contractor Name: Self Phone #
State License #
Address: City: State: Zip:
EngJArchitect Name: Phone #
Address: City: State: Zip:
Plumber Name: Phone #
Address: City: State: Zip:
Mechanical Name: Phone #
Address: City: State: Zip:
Description of work: Basement Finish: Li~ Room & Bedroom. 4th
FEES:
Bedroom & Bathroom FramillJ!: Onlv.
Est. Value: $ 2.500.00 Big. pennit 69.25
Plan review
State surtax 1.25
Tvpe nfWork. Tree Ordinance Applies: OYestl!lNo Big. Total 70.50
0 New Plbg. permit
0 Addition Other Handouts Required: DYes 0 No Fixtures
D Alteration Basement Finishing Bandout State surtax
0 Repair Plbg. Total
0 Move Mech. pennit
0 Other
Adtlitional Information.
Fixtures
Const type: Vn
State surtax
Tvne of ron~truction' Occ. group: R
Mech. Total
Division: 3
JgJ Single Family
Sq. Ft.: NA
Sewer access
0 Duplex # Stories: Split Entry
Water access
0 Multi-Family # Res. writs: 2
Waler meter
0 Commercial
Malt. occ. load: NA
Meter sales tax
0 Industrial Meter Total
0 Res. Garage
Fire zone: NA
Sew & water pennit
Fire sprinklers: 0 yes g no0Other Trunk water
Off-street parking covered: 2
Trunk san. sewer
Off-street parking uncovered: ...1....- Stann sewer
Liftstation
Park & Pathway
Work performed without required inspections will result in removal of materials at Fire Lock Box
owner/contractor's expense until inspections are completed. NO EXCEPTIONS.
I bave read and examined this permit and agree to comply with the building code in
effect at the time of this application. I agree to comply witb the ordinances of the
Cityof~r~ TOTAL FEES 70.50i" ~/iJ! LII;; j&l
Receipt # t.JJ [1317I ~
AP~_ Date .-"
A// ~.2d1c:l Date 9'- 3" c. ;;.;. Afrr:-:W// .
Ii.: -# ~ 3:5BUiI . g Signature Date
J /V i(CR
CITY OF MONTICELLO I BUILDING PfRMIT505WalnutStreeVSune1/Monticello, MN 55362 (612)
2r'
306O
Site Address: 8848 Farmstead Avenue '
Legal: Lot 8 Block 1 Plat
PERMIT # 00-5508
PID # 155-124-001080
5-00-1
Zone: R-l
Klein Farms Sixth Addition
Property Owner Name: D. Klein Construction
Address:City:
Contractor Name:
S tate License #
Address: P.O.
D. Klein Construction
0005627
Box 713 City: Monticello
Eng./Architect Name:
Address:
Plumber Name: Gateway lfechaniea1
Address:
Mechanical Name: Custo.. Sheet lfeta1
Address:
City:
City:
City:
Description of work: 24',.40', 1 '6"xl2'6" and 5',.8' Sp1it Entrv
with 22'x24' Attached Garage.
Est. Value: $ 91,4U.00
v-.
Tvne of Work.
In New
o Addition
o Alteration
o Repair
o Move
o Other
Tree Ordinance Applies: t! Yes 0 No
Other Handouts Required: :gJ Yes 0 No
Erasion Contro1. s""lP P""IP
Ordinance & 5i1t Fence Handout
A.dditional Information:
Const. type: VN
Occ. group: R+U
Division: 3+1
Sq. Ft: I, 037
Stories: SpUt Ent~
Res. units: 1
Max. occ. load: NA
Fire zone: NA
Fire sprinklers: 0 yes 9 no
Off-street parking covered: 2
Off-street parking uncovered: ..2-
Tvpp. of ConSitruction:
I!J Single Family
o Duplex
o Multi-Family
o Commercial
o Industrial
o Res. Garage
o Other
Work performed without required inspections will result in removal of materials at
owner/contractor's expense until inspections are completed. NO EXCEPTIONS.
I have read and examined this permit and agree to comply with the huilding code in
effect at the time of this application. I agree to comply with the ordinances of the
Ci of Monticello.
r.k.V ?
p-___ ,~_, 1 > --
APPlicanISi~~
Buil*ignature
cV\~c::+:::,'('
Date'
d-~ o:7~.:PLJtft7
Date
Phone #
State:Zip:
Phone # 295-1784
State: MI!I
Phone #
State:
Phone #
State:
Phone #
State:
FEES:
930.75
604.99
45.71
BIg. permit
Plan review
State surtax
Big. Total
Plbg. permit
Fixtures
State surtax
Plbg. Total
Mech. permit
Fixtures
State surtax
Mech. Total
Sewer access
Water access
Water meter
Meter sales tax
Meter Total
Sew & water permit
Trunk water
Trunk san. sewer
Storm sewer
Lift station
Park & Pathway
Fire Lock Box
30.00
75.00
50
30.00
25.00
50
108.05
7.03
Zip: 55362
Zip:
856-2050
Zip:
295-2229
Zip:
1,581.45
105.50
55.50
3,000.00
525.00
U5.08
80.00
S;\lv2.Sj
5,437.B
CITY OF MONTIQELIo /'BUILDING PERMIT
505 Walnut StreeVSurte l/Monticello. MN 55362 (763) 295-3060
Site Address:
Legal:
8848 Farmstead Avenue
Lot 8 Block
PERMIT #
PID # 155--031-001080
1
Zone:
Plat Klein Farms 6th Mdition
Property Owner Name: Corey & Monica Derby
Address: 8848 Farmstead Avenue City: Monticello
Contractor Name: Self
S tate License #
Address:City:
Eng./Architect Name:
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
City:
City:
City:
03-7514
R-1
Phone # 295-6214
State: EN Zip: 55362
Phone #
State:
Phone #
State:
Phone #
State:
Phone #
State:
Description of work: Basement 1'in8il1: 1 Bathroom & 1 Office/Bedroom
FRES:
Est. Value: $ 2,000.00
Tvne of Work=
o New
o Addition
IUl Alteration
o Repair
o Move
o Other
Tree Ordinance Applies: 0 Yes tm No
Other Handouts Required: (lg[Yes 0 No
Basement Finishing Handout
Tvne of Con~tructinn=
W Single Family
o Duplex
o Multi-Family
o Commercial
o htdusttial
o Res. Garage
o Other
Arldifinnal Information.
Const. type: VN
ace. group: R
Division: 3
Sq. FI.: NA
Stories: Split
Res. units: 1
Max. DCC. load: NA
Fire zone: NA
Fire sprinlders: 0 yes 9 no
Off-street parking covered:
Off-street parking uncovere.d: _
Work performed without required inspections will result in removal of materials at
owner/contractor's expense until inspections are completed. NO EXCEPTIONS.
I have read and examined this permit and agree to comply with the building code in
effect a! !h~ oC this application. I agree to comply with the ordinances of the
City of ~,"celrp. /1
V~Jj;' /ojtf'f
Appli . t Signature Date
c<-. / Ad <1 tJ--.-')-Q:::s
B' g om Signature Date
Big. permit 6 9 . 2 5
Plan review
State surtax 1 .00
Big. Total
Plbg. pennit
Fixtures
State surtax
Plbg. Total
Mech. pennit
Fixtures
State surtax
Mech. Total
Sewer access
Water access
Water meter
Meter sales tax
Meter Total
Sew & water permit
Trunk water
Trunk san. sewer
Stann sewer
pft s~on
Park & Pathway
Fire Lock Box
TOTAL FEES
Receipt ~. t ~
Date 0. -~-c)
I71ft)
Zip:
Zip:
Zip:
Zip:
70.25
70.25
I~
3
CITY OF MONTICELLO BUILDING PERMIT
PERMIT# o5-s8o1
DEVELOPMENT SERVICES - BT~JILDING INSPECTIONS
o:~"~~:ra:M Pt>J # 155-124-001080
505 Walnut Street. Suite 1. Monticello. MN -55362
ION'I(CELLO
City Hall (763) 295-271 1 Fax (763) 295-4404
SITE ADDRESS: 8848 Farmstead Avenue ZONING: R-1
Legal: Lot 8 Block 1 plat Klein Farms 6th Addition
PROPERTY OWNER NAME: Corey Derby Phone: 763-295-6214
Address: 8848 Farmstead Avenue City: Monticello state: MN zip: 55362
CONTRACTOR NAME: License #: Phone:
Address: City: State: Zip:
ENG./ARCHITECT NAME: License #: Phone:
Address: _ City: State: Zip:
PLUMBER NAME: License #: Phone:
Address: City: State: Zip:
MECHANICAL NAME: Phone:
Address: City: State: Zip:
Ty pe of Work:
New
Addition
Alteration
Repair
Move
Other
Use•
x~Single Family
Duplex
Multi-Family
Commercial
Industrial
Residential Garage
Other
Building Information:
Estimated Value
of construction: 5 4, 200
Occupancy Class.: R
Construction Type: V-B
sq. Ft.: 300
No. Stories: 7
Res. Units: 1
Max. Occ. Load: NSA
Fire Suppression SVStem Required:
YES
NO
Description of Work: 2'X20,' 2'x22,' and 18'x.12' Deck
ddition. Addition. __
This permit is for only work as described. Building Official approval required prior
to any changes in scope of work or modifications from work as described herein.
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. 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 o cu b, si~walk, public utilities and signs will be repaired at my expense.
Applicant Si
Builc~g~SignatureTypeofPmen : Cash Credit Card
Da a ~
5V~~
Date ~
Check # ~n'~j' Receipt #_~~~
FEES:
Building Permit 07.25
Plan Review
State Surcharge 2.10
BUILDING TOTAL
Plumbing Permit
Fixtures
State Surcharge
PLUMBING TOTAL
Mech. Permit
Fixtures
State Surcharge
MECHANICAL TOTAL
BLDG. PERMIT SUBTOTAL
Sewer Access ~SAC~
Water Access ~WAC~
Water Meter
Water Meter Tax
METER TOTAL
Sewer/Water Connection
Contractor License Check
Assessment Fee
Utility Locate Fee
Lift Station
Park & Trail Fee
99.35
TOTAL FEES To BE PAID 99.35
xxxx~x,:,:,:,:,:>.>.>.>...>.,:rrxxrxrxxx>.x,:xx>.x>.YYxx
TRUNK FEES Normally Assessed)
Water
Sanitary Sewer
Storm Sewer
TOTAL TRUNK FEES