9144 Farmstead Avenue 155-105-007070PERMIT #
99--4800
CITY OF MONTICELLO / BUILDING PERMIT
250 E Broadway/PO Box 1147/Monticello, MN 55362 (612) 295,3060
Site Address:
Legal: Lot
9144 Farmstead Avenue
7 Block 7 Plat
PID # 155-'105-007070
Zone: 1t- 1
Klein Farms 4th Addition
Property Owner Name: D. Klein Construction
Address: P.O. Box 713 City: Monticello
Contractor Name:D. Klein Construction
State License # 2005627
Address: P.O. Box 7,13 City: Monticello
Eng./Architect Name:
Address:
City:
Plumber Name:
Address: City:
Mechanical Name:
Address: City:
Description of work: 291-6"x32' , 14' x16' , 16' x24' , and 4' 6"x9' One
Story with 22'x25' and 4'6"x13' attached ara e. 51x16' Roof
Covered Porch. Est. Value: $ 114,488.00
Tyne of
®
Work*
New
❑
Addition
❑
Alteration
❑
Repair
❑
Move
❑
Other
Type of
❑
Consiruc
Single Family
❑
Duplex
0
Multi -Family
❑
Commercial
❑
Industrial
❑
Res. Garage
❑
Other
Tree Ordinance Applies: E] Yes ❑ No
Other Handouts Required: ® Yes ❑ No
Erosion Control/Sump Pump Ord.
Const. type:
Occ. group:
Division:
Sq. Ft.:
# Stories:
# Res. units:
Max. occ. load:
Fire zone:
Fire sprinklers: ❑ yes ❑ no
Off-street parking covered:
Off-street parking uncovered:
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 at the time of this application. I agree to comply with the ordinances of the
C4 of Monticello.
Applicant Signature Date
�k�
Build g Signature ate
��trli�f 9d�
Phone #
State: MN Zip. 55362
Phone # 2.95-1784
State: mN Zip: 55362
Phone #
State:
Zip:
Phone #
State:
Zip:
Phone #.
State:
_ Zip:
Blg. permit
962.25
Plan review
625. 7
State surtax
5 7.25
Blg. Total
Plbg, permit
—10-1-00
Fixtures
65. kO
'State surtax
Plbg. Total
Mech. permit
3Q.49_Q
Fixtures
25.00
State surtax
.50
Mech. Total
Sewer access
Water access
Water meter
108.05
Meter sales tax
7.0
Meter Total
Sew & water permit
Trunk water
Trunk san. sewer
Storm sewer
Lift station
TOTAL FEES
Receipt #
Date �-
W
55-50-
2 0 0
4,991.05
CITY OF MONTICELLO
INSPECTION NOTICE
PERMIT #: y .0
ADDRESS:
OWNER:
PHONE #:
x0r,I TO
❑
House Footings
❑
Garage Footings
❑
Floor - Basement
❑
Floor - 3rd Level
❑
Other
COMMENTS:
❑
Foundation - Formed
❑
Foundation - Backfill
❑
Framing
❑
Insulation
❑
Sheetrock
INSPECTION RESULTS: REASONS:
Approved --Proceed
❑
Work Not Ready
Unable to Inspect
❑
No Permit Issued
❑ Stop Work
❑
Corrections Not Done
❑ Correct Work --Proceed
❑
Do Not Occupy
❑ Correct Work --Call
❑
Unable to Access
for Inspection
DATE
TIME
Called in
Scheduled
Completed
[Z
Plumbing Rough -in
❑
Plumbing Final
❑
Mechanical Rough -in
❑
Mechanical Final
❑
Building Final
Inspector:
Call 295-3060 for the next inspection 24 hours in advance.
INSPNOTC.WK4: 09/05/95 White/Inspector File Yellow/Site Notice
'CITY OF MONTICELLO
INSPECTION NOTICE
PERMIT #: 04q
ADDRESS:
OWNER:
PHONE #:
CONTR:
❑ House Footings
❑ Garage Footings
❑
❑
Foundation - Formed
Foundation - Backfill
.1Z
Plumbing Rough -in
❑ Floor - Basement
❑
Framing
❑
El
Plumbing Final
Mechanical Rough -in
❑ Floor - 3rd Level
❑ Other
El
Insulation
El
Mechanical Final
ElSheetrock
❑
Building Final
COMMENTS:
P
INSPECTION RESULTS:
Approved --Proceed
Unable to Inspect
❑ Stop Work
❑ Correct Work --Proceed
❑ Correct Work --Call
for Inspection
REASONS:
❑
Work Not Ready
❑
No Permit Issued
❑
Corrections Not Done
❑
Do Not Occupy
❑
Unable to Access
s.e_= .%ice,
r
Call 295-3060 for the next inspection 24 hours In advance.
INSPNOTC.WK4: 09/05/95 White/Inspector File
Yellow/Site Notice
CITY OF MONTICELLO
NOTICE
Called in
DATETIME
Schedule
d
o a
PERMIT #:
G
ADDRESS:
C
OWNER: ati
PHONE #:
CONTR:
❑ House Footings
❑ Garage Footings
❑ Floor - Basement
❑ Floor - 3rd Level
❑ Other
❑ Foundation - Formed
❑ Foundation - Backfill
❑ Framing
❑ Insulation
❑ Sheetrock
❑
❑
❑
Plumbing Rough -in
Plumbing Final
Mechanical Rough -in
Mechanical Final&
Building Final �(
COMMENTS:
/I/
p ,P
INSPECTION RESULTS:
❑ Approved --Proceed
❑ Unable to Inspect
❑ Stop Work
❑ Correct Work --Proceed
Correct Work --Call
for Inspection
REASONS:
❑
Work Not Ready
❑
No Permit Issued
Corrections Not Done
❑
Do Not Occupy
❑
Unable to Access
Call 295-3050 for the next inspection 24 hours In advance.
INSPNOTC.WK4: 09/05/95 White/Inspector File Yellow/Site Notice
1
G-SUB
I If F-1 F ISf 4h 1 f1lUQl
SUBPOENA
(ORDER TO APPEAR)
M S :197 77 F. N57.94
as.
State of Minnesota opy District Court
COUNTY JUDICIAL DISTRICT CASE NO.
PLAINTIFF
DEFENDANT
]W)N 1,D F. 'CAYl"f�IB-'nAi,il.AIN VS
D. KE.a[' V1 tyt'I.'N. .'4"'R1 CT-TO.I SAT, s INC-
WITNESS
❑ DEPOSITION
NOTE: Rule 45.04 of Rules of Civil Procedure requires
proof of service of notice to take a deposition prior to
NAME
issuing a subpoena for a deposition.
—
ADDRESS
V
❑ DUCES TECUM
ZIP
You are hereby commanded to appear as a witness to give testimon
on the date, time and plac im
You are commanded to produce the following items,
hereafter as may be ired.
ecords, or documents:
TIME
ADDRESS
;!
I
WITNESS FOR
PLAINTIFF ❑ DEFENDANT
TYPE OF CASE
( CIVIL ❑ CRIMINAL ❑ JUVENILE
Person requesting
Name
-TAXES W. "KSS
subpoena
Optional
Upon receipt of this subpoena, please call:
❑ SCHEDULE ATTACHED
WARNING: FAILURE TO OBEY A SUBPOENA WITHOUT BEING EXCUSED IS A CONTEMPT OF COURT.
WITNESS, T,AV)YNN moRDLZ Administrator of the above named Court, and the seal
thereof this IS11 day of OCTO Bid R. - 200t
Day Month Year
(SEAL) LAVONN NORT)F Court Administrator
A
Deputy
De y
ANA H.
Read reverse side for important instruction.
BRING THIS SUBPOENA TO COURT
White-Original-Ret to Court with proof of service Yellow -Witness' copy Pink•Court file copy
gag �v � �e,� �� ������ w. � -a y �_ 1-55
K � �
.st �/Zxloa �:Ya,d�C
c SUS
,r Iscno to;ssl
SUBPOENA INFORMATION
PLEASE READ CAREFULLY
SERVICE of a subpoena may he [node by tree sheriff, by a deputy, or any other person whu is r.ot a party and, in criminal cases, who Is not
less than 1 S years of age. Service of a suhpoeria upon a person named therein shall be made by deG✓eying a copy thereof to such a person or by leaving a copy of the person's usual place of abode with some person of suitable age and discretion tiler•, residing therein. (Rule 45.03,
Rules of Civil Procedure Rule 22,03, Rules of Criminal Procedure) ---
FEES to be paid to witnesses shall be as follows: (M.S. 357.22, 357,24, 357,241)
(1 ) For attending in any action or proceeding in any court of record or before any officer, person or board authorized to take the examination
of witnesses, $20 for each day. within the
(2) from rrthelin bougdargytl nerof the star frornwhethe
place of witness o sed the same, fromdOut roftstat he It285cents per mile. s's residence, If(Additional fees emay be
available for out of state witnesses.)
Civil Case: Except when the subpoena is issued on behalf of the state, a person is not obligated to attend as a witness m a civil case unless
one day's attendance and travel fees are paid or tendered in advance. When a witness has attended on behalf of the state, the witness must.
file a certificate (set forth below) with the court administrator in order to obtain payment of fees.
Criminal or Juvenile Case: Travel and attendance fees needs not be tendered in advance. A witness attending on behalf of the state or a
public defender may obtain payment of fees by filing a certificate (set forth below) with the court administrator. Other witnesses must obtain
payment of fees from the party requesting their attendance, unless payment is approved by the court.
S IF YOU WERE SUBPOENAED BY THE STATE, COMPLETE THIS SECTION:
7
A To receive payment as a witness for the state, you must complete the following certificate, have the prosecutor sign it, an
T then take the subpoena to the court administrator's office, after you testify. Payment will be mailed as soon as possible.
E
I certify that I attended as a witness for the state on the following dates)
W and that 1 traveled miles round trip.
I
T Date Address
N
E Signature City, State, Zip
S
S I certify that the attendance of this Witness was necessary. PROSECUTING ATTORNEY
D IF YOU WERE SUBPOENAED BY THE DEFENDANT, COMPLETE THIS SECTION:
E
F To request payment as a witness for the Defendant, complete the following certificate and give this subpoena tot e
E defendant's attorney.
N
S I certify that I attended as and (tnesthat I trarveled the efendentm les round
trip forthe following attendanceon the above date(s).
E
W Date Address
1
T Signature City, State, Zip
N
E I cr:rtity that the attendance of this witness was necessary PUBLIC DEFENDER
S
S Court approval for defense witness:
Court approval for parent/guardian accompanying juvenile: (See NOTES below)
PLEASE NOTE: In criminal cases, a witness authorized to receive payment of attendance and travel fees through the court administrator may also
obtain payment of reasonable expenses actually incurred for meals, loss of wages, and child care not to exceed $60.00 per day, by filing a separate
application with the court administrator. If approved, expenses will be included with the attendance and travel fees. (M.S. 357.24, M,S. 357.241 )
PLEASE NOTE: In any proceeding where a parent or guardian attends the proceeding with a minor witness and the parent or guardian is not a
witness, one parent or guardian shall be compensated in those cases where witness compensation is mandatory under sections M.S. 357.22,
357,24, or 357,241, and may be compensated when compensation is discretionary under those sections. No [note than a combined total of
sF;o no may be awarded to the parent or guardian and the minor witness. (M.S. 357,242)
PLEASE NOTE: A witness who is not a party to the action or an employee of the party (except a person appointed pursuant to Rule 30.02if1' 'who
is required to give testimony or produce documents relating to a profession, business or trade is entitled to reasonable (,onpensation for the tin-ie
and expense, involved in preparing for anti giving such testimony or producing such documents. Tlie party serving the subpoena ;I-iatl make
arrangements for such reasonable compensation prior to the time of taking such testimony. Rule 45.06, Rules of Civ!I Procedure. f
OFFICE Certified to the Auditor for payment _
USE Date
r'—,rT Add mistratof,'DeGUTV
Mileage
Lxpensr
fntal—
Y��=CITY OF MONTICELLO
INSPECTION NOTICE
PERMIT #: -
ADDRESS:
OWNER:
PHONE #:
CONTR:
❑ House Footings ❑
❑ Garage Footings ❑
❑ Floor - Basement ❑
❑ Floor - 3rdp Level �,
V41V11Z 6t M4,
Plyl
INSPECTION RESULTS:
❑ Approved --Proceed
❑ Unable to Inspect ❑ Stop Work
�� ❑ Correct Work --Proceed
❑ Correct Work --Call
for Inspection
D
Called in ATE TIME
Scheduled
Completed
Foundation - Formed ❑ Plumbing Rough -in
Foundation - Backfill W�?Plumbing Final s
Framing ❑ Mechanical Rough -in
Insulation �w Mechanical Final
Sheetrocky � fke/ � Building Final
Wl
REASONS:
D
Called in ATE TIME
Scheduled
Completed
Foundation - Formed ❑ Plumbing Rough -in
Foundation - Backfill W�?Plumbing Final s
Framing ❑ Mechanical Rough -in
Insulation �w Mechanical Final
Sheetrocky � fke/ � Building Final
Wl
REASONS:
❑
Work Not Ready
❑
No Permit Issued
❑
Corrections Not Done
❑
Do Not Occupy
❑
Unable to Access
Cali 295-3060 for the next inspection 24 hours in advance.
INSPNOTC.WK4: 09/05/95 White/Inspector File Yellow/Site Notice
*CITY OF MONTICELLO BUILDING PERMIT
DEVELOPMENT SERVICES — BUILDING INSPECTIONS
10IM"505 Walnut Street. Suite 1, Monticello. MN 55362
MON 1)(1,11.o
City lIall (763) 295-2711 Fax (763) 295-4404
SITE ADDRESS: 9144 Farmstead Avenue
Legal; Lot 7 Block 7
Plat Klein Farms 4th Addition
PROPERTY OWNER NAME: Don & Gwen Chamberlin
Tvne of Work:
❑
New
❑
Addition
Alteration
❑
Repair
❑
Move
❑
Other
Use:
Single Family
❑
Duplex
❑
Multi -Family
❑
Commercial
❑
Industrial
❑
Residential Garage
❑
Other
Buildine Information:
Estimated Value
of construction: S NA
Occupancy Class.: R
Construction Type: NA
Sq. Ft.: NA
No. Stories: 1
# Res. Units: 1
Max. Oct. Load: N
Fire Su ression System Re uired:
❑ YES
XE NO
Phone: 295-6105
City: Monticello State; 'NIN Zip: 55362
License th
City:
License #:
City:
License #:
City:
City:
Description of Work: In 1ted l Underground Sprinkler System.
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. 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 Signature Date r
Buildipim< ignaturz. -. _.............. bate
Type of Payment: CasK:Credit Card Check 9 Receipt #�_
Phone:
State Zip:
Phone:
State: Zip:
Phone:
State: Zip:
Phone:
State
Zip:
FEES:
Building Permit
Plan Review
State Surcharge
BUILDING TOTAL
Plumbing Permit 30.00
Fixtures 7.00
State Surcharge .50
PLUMBING: TOTAL
Mech. Permit
Fixtures
State Surcharge
MECHANICAL TOTAL
[BLDG. PERMIT SUBTOTAL
Sewer Access ISACI
Water Access IWACI
Water Meter
Water Meter Tax
METER TOTAL
Sewer/Water Connection
Contractor License Check
Assessment Fee
Utility Locate Fee
Lift Station
Park & Trail Fee
37.'50 1
TOTAL FEES TO RE PAID 37.50
TRUNK FEES [Normally Assessed)
Water
Sanitary Sewer
Storm Sewer
TOTAL TRUNK FEES
m � $ry
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