9163 Farmstead Avenue 155-105-005080CITY OF MONTICELLO / BUILDING PERMIT
250 E Broadway/P0 Box 1147/Monticello, MN 55362 (612) 295-3060
PERMIT # 9 9 —4 7 71
PID # 155-105-008050
:ite Address: 9163 Farmstead Avenue Zone: RY-1
Legal: Lot 8 Block 5 Plat Klein Farms 4th Addition
Property Owner Name: Brian Merkle
Address: 9163 Farmstead Avenue
City:
Contractor Name: American Heating & Air Supply Inc.
State License #
Address: 8347 University Avenue _NE City: Spring Lake Park State: MN Zip: 55432
Monticello
Phone # 295-4706
State: MN Zip: 55362
Eng./Architect Name:
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
City:
City:
City:
Description of work: install Central Air Conditioning
lype of
❑
Works
New
❑
Addition
®
Alteration
❑
Repair
❑
Move
❑
Other
TYIae of
®
Construction:
Single Family
❑
Duplex
❑
Multi -Family
❑
Commercial
❑
Industrial
❑
Res. Garage
❑
Other
Est. Value: $
Tree Ordinance Applies: ❑ Yes [N No
Other Handouts Required: ❑ Yes ® No
Additional lufarmagon-
Const. type: VN
Occ. group: R
Division:
Sq. Ft.: N—
# Stories: Split Entry
# Res. units:
Max. occ. load. T� A
Fire zone: N
Fire sprinklers: ❑ yes E] no
Off-street parking covered: 3
Off-street parking uncovered: 3
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
City of Monticello.
Applicant Signature
Build' Signature
Date
Awe
ate
Phone # 780-3800
Phone #
State:
Phone #_
State: _
Phone #.
State:
Zap:
Zip:
Zip:
EFL;.
Blg. permit
Plan review
State surtax
Blg. Total
Plbg. permit
Fixtures
State surtax
Plbg. Total
Mech. permit 30.00
Fixtures 5.00
State surtax .50
Mech. Total 35.50
Sewer access
Water access
Water meter
Meter sales tax
Meter Total
Sew & water permit
Trunk water
Trunk san. sewer
Storm sewer
Lift station
TOTAL FEES 35.50
Receipt # 5136
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