9095 Farmstead Avenue 155-105-0051201 fY OF MONTICEllO / BUilDING PERMIT250EBroadway/po Box 1147/Montlcello, MN 55362 (612) 295-3060
PERMIT # 99-46'5
PIn # 155-105-005120iiteAddress: 9095 Farmstead Avenue
Legal: Lot 12
Block 5 Plat
Zone: R-l
Klein Farms 4th Addition
Property Owner Name:
Address:
City:
Phone #
State:
Contractor Name: Novak-Fleck, Inc.
State License # 0001631
Address: 8857 Zealand Avenue North
Zip:
Phone #424-4955
City: Brooklyn Park State: MN Zip: 55445
Eng./ Architect Name:
Address:
City:Plumber Name: Thompson PlumbinK
Address: 15001 Minnetonka Ind. Rd. City: Minnetonkaechanic~Name: Riccar Heating & Air Conditioning
Address: 2387 Commercial Boulevard NW City: Andover
Phone #
State: Zip:
Phone # 933-7717
State: MN Zip: 55345
Phone # 754-4000
State: MN Zip: 55304
Description of work: 27' x 26', 13' x 25', l' x 13', l' x 9', 6'x 8' and 2'-6" x 4' solit entry with 19' x 20'. 4' x 16'-5" and11' x 22' attached garage. 4' x 6' Est. Value: $ 93,949.00roof ~pvered open porch.
Additional InformatiQn:
Const. type: VN
Occ. group: R + IT
Division: 3 + I
Sq. Fc.: ] 107
Stories: Sp 1 of 1': entry
Res. units: ]
Max. occ. load: NA
Fire zone: NA
Fire sprinklers: 0 yes iii no
Off-street parking covered: 1
Off-street parking uncovered: --3-..
FEES:
BIg. pennit 849.75
Plan review 552.34
State surtax 46.98
BIg. Total 1449.07
Plbg. pennit 30.00
Fixtures 85.00
State surtax .50 115.50
Plbg. Total xx){(tDQ
Mech. pennit 30.00
Fixtures 25.00
State surtax .50
Mech. Total 55.50
Sewer access 2500.00
Water access 500.00
Water meter 108.05
Meter sales tax 7.03
Meter Total 115.08
Sew & water permit 80.00
Trunk water
Trunk san. sewer
Stonn sewer
Lift station
TOTAL FEES 4815.15
reeiPt#~!~qq
Tvne of Work:
New
o Addition
o Alteration
o Repair
o Move
o Other
Tree Ordinance Applies: [i Yes 0 No
Other Handouts Required: GaYes 0 No
Erosion Control
Sump Pump Ordinance
Tvne of ron"trnction:
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 atowner/contractor's expense until inspections are completed. NO EXCEPTIONS.
I have read and examined this permit and agree to comply with the building code ineffectatthetimeofthisapplication. I agree to comply with the ordinances of theCityofMonti~"lo.
1{~__
Applicant Signature
j- .2 .:? - 91
Date
J?/;;,yy
Da
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CITY OF MONTICELLO / BUILDING PERMIT PERMIT # oo-m~
2SO E Broadway/PO Box 1147/MantleeHo, MN 55362 (612) 295-3060
Site Address:
Legal:
9095 Farmstead Avenue
Lot 12 Block 5 Plat Klein Farms
Property Owner Name: Paul Fallon
A'dtlress: 9095 Farmstead Avenue
x'
PID # 1 ~~_, O~-OO'i 1 ?O
Zone: R-l
4th Addition
Jakie 612-333-3637
Phone #612-295-6705
State: ~lN Zip; 55362City; Monticello
Contractor Name: Paul Fallon
S tate License #
Address:City:
Eng./Architect Name;
Address:
Plumber Name;
Address;
Mechanical Name:
Address;
City;
City;
City;
Description of work: 12' x 20' deck additon on house, basement
finish: bathroom
Est. Value: $ 3880.00
Tvne of Work.
o New
iii Addition
iii Alteration
o Repair
o Move
o Other
Tree Ordinance Applies: 0 Yes Cil No
Other Handouts Required: liIYes 0 No
Deck and Basement Finish
Additional In'ormatinn.
Const. type: VN
OcC. group: ..
Division: 3
Sq.Ft.: 240 & 72
Stories: Split entry
Res. wllts: 1
Max. occ. load: NA
Fire zone: NA
Fire sprinklers: 0 yes 12!1 no
Off-street parking covered: 2
Off-street parking uncovered: ~
Tvne or Condrllction~
Ii] Single Family
o Duplex
o Multi-Family
o Commercial
o lnduslrial
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
City of M<!lI,ticeIlo. ,/ / /
r . .../~/
4'"
Applicant Signature ~
BuiI g Signature
Vf//(/,tftf'
7- c!70
D' '!
I '/ 5; :;l tJ(}O
Phone # 612-29566705
State: Zip:
Phone #
State:
Phone #
State:
Phone #
State:
Zip:
Zip:
Zip:
FEES:
BIg. pennit 87.25
Plan review
State surtax 1.94
Big. Total 89.19
Plbg. pennit
Fixtures
State surtax
PIbg. Total
Mech. pennit
Fixtures
State surtax
Mech. Total
Sewer access
Water access
Water meter
Meter sales tax
Meter Total
Sew & water pennit
Trunk water
Trunk san. sewer
Storm sewer
Lift station
TOTAL FEES 89.19
Receipt # /t7f, :If 5'W~
XDate 'II /0U .-1;.
90~-5 farms+.oJ AKr,
HY-LAND SURVEYING, P.A.
LAND SURVEYORS
lNVOIC~ No. 17117
Top of Block F.B. N0.
700 Jefferson Highway SCALE t"= 2~'
Garage Footing Osseo, Minnesota 55359
493-5761 d Denotes Iron Monument
Lowest ,Footing
Type of Building -Y~~t~~~~~~
Denotes Wood Hub Set
l=or Excavation Only
0 ElevationotesExistinDx000.gen
C3 Denotes F'ropased Elevation
N AS~-BUILT"
Denotes Surface Drainage
IW
a `
o
c~~ wC.~c, o Ck~S ~vri~5~r-~C~ '~V~? -'1U'~
LOT 12, BLOCK 5, KLEIN FARMS 4TH ADDITION
155- LC75 -ooSl ~- o
The only easements shown are from plats of retard of information prevlded by client.
I hereby certify that this survey wos prepared by me ar under
my direct supervision, and that I am a duly Registered Land
Surveyor under the laws ~oi the State of Minnesato.
Surveyed by us this 5TH day of MAY Ig 99
sO
e~
Signed
Milton E. Hyland, Minn. eg. No. 20262
E
J S~.Top of 131ock - 9q
Garage Footing - ~~ ~~~7
Lawes t Footing - ~ S ~i'40