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9203 Farmstead Avenue 155-105-005050MONTICELLO DEVELOPMENT SERVICES BUILDING INSPECTIONS PERNIIT = Lj�— 7c�i _ 505 WALNU r STREET. SUITE I MONTICELLO. NIN 55362 City Hall (763) 295-271 1 Building Inspections (763) 295-3060 Fax (763)295-4404 BUILDING PERMIT APPLICATION Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. a ?J ZONED SITE ADDRESS: iMSRO'(p� „yeA1&( LEGAL: Lot 5-Block S- Plat <z.0 fltatl </1tYpAdd iiry/ Property Owner Name. �4Wu,) l e Phone: :_1&} S'6045'J / Address: i State: WU Zip�j Contractor Name AA �<_Ly-o Phone: _ State License -1: .Address: _ Citc: State: Zip: _ Eng./Architect Name: Phone: .Address: City: _ State Zip: Plumber Name: _ Phone: _ -- Address: _. City: State:_ Zip: _ Mechanical Name: _ Phone: _ Address: _ Cite: _ State:____.__ Zip: Type of Work Tyne of Construction '171-❑ Building Information Use building New Single FainilN' of ❑ Addition ❑ Duplex r of stories Alteration ❑ Multi -Family Floor area sq. ft. ❑ Repair ❑ Commercial ❑ %Io%e ❑ Industrial Estimated value ©o ❑ Other ❑ Residential Garage of construction $ 19-00 ❑ Other Description ot'work: Qu 9f1df A1fNJE�rl7��///lCll I herab% appl% fora permit for construction as desCrihed and 9ck1ioiklcd2c that the inlornilmon I ha%c prodded ubo%c is complete and accurue. I a-jec that the work Dill he conducted ill conloiniance kith the oidmanccs of the Cit% of iAMonticello and kith the Laik of i.he State orAMinnesota: and .hot 1 till do<tmtd that this application is not it permit and that the %wik is not to ,tun oithout a permit. I lurther and t,tand that the vcork gill be in occordance midi the plan that hits hccn opprored be the Building Official. I agree that om damage cetaed to puhlic property inCludine hilt .tot IimitCd to curh. SillCRolk_ pubic utilities and signs vkill he repaired at m\ e�pensc- 1 SEE BACK FOR PLUMBING V© 22 U AND MECHANICAL INFO. Applicant Sigg ire Application Date ACCLI l.P1Lv 1 Fire Suppression : (if applicable) rlertse snow ilxnu•es teat al-e Plumbing: (if applicahle) .Mechanical: (if applicable) No. Fixture Tvpe Sprinkler Heads Other/Special FS Device Fire Alarm. (if applicable) No. Fixture Tvoe # of Devices Other Bldg. Permit SU Plan Rev iety State Surcharge No. Fixture Tvne Writer Closet (toilet) Bathtub Lavatory (wash bushy) Shower Kitchen Sink Dishwasher Letundry Tub Clothes Washer Winer Heater (,'rinal Drinking Fountain Floor Drain Slop Sink Hrdraants TOT IL ( S7 Per Fixture) FOR CITY USE ONLY Bldg.Totalr�tU Plmu. Permit FiXtUICS Surcharge Plmg. Total Vlech. Permit Futures SUPCharue Mech. Total Server Access Water Access Water Nleter Meter Sale; Ta.N Meter Total Scty S-, Water Permit _ Trunl, Water Trunk Sanitai% Server Trunk Storm Sewer Lift Station AL FEES: aUo No. Fixture Tvoe Furnace Gas Meter Range Hood Gus R(wge Water Heater .Air Conditioning Mech. Fireplace Bathroom(s) Exhaust Fair Air E.xchum er Dryer Gas Opening m/o Fixture TOTAL ( S7 Per Fixture) Tree Ordinance Handout ❑ Yes No Other Hpdouts ` Yes ❑ No A1)1)1T10NAL INF0 11 AL TITION: Valuation: ConsuactionT�pe: Occupancy Group: Division: 5_ Square Footage: n/ of Stories: k of Residential Units: Nlasinnmi Occupancy: A/L Fire Sprinklers: Yes No Off -Street Parking Covered: A Off -Street Parkin,2 Uncovered: Building Official BPT: CITY OF MONTICELLO TIWItDING PER 11, 505 Walnut Street/Suite 1/Monticello, MN 55362 (763) 295-3060 04-7692 PID # 155-105-005050 Site Address: 9203 Farmstead Avenue Zone: R-1 Legal: Lot 5 Block 5 Plat Klein Farms 4th Addition Property Owner Name: Tort & Jennifer V'ilinns Address: ._._92403 Farinstead, Avenue Contractor Name: 'o 1. f State License # Address: Eng./Architect Name: Address: Plumber Name: Address: Mechanical Name: Address: City:. City:, City:. City: City: Mor.ticell.o Description of work: Base -neat Firi0i: Family Room, Bathroom & I FEES. Bedroom. wne of ❑ Work-. New ❑ Addition C[ Alteration ❑ Repair ❑ Move ❑ Other 10 Single Family ❑ Duplex ❑ Multi -Family ❑ Commercial ❑ industrial ❑ Res. Garage ❑ Other Est. Value: $ 4,000.00 Tree Ordinance Applies: ❑ Yes IM No Other Handouts Required: U Yes ❑ No Basement Finish Const. type:yy Occ. group: ? Division: 3 Sq. Ft.: NA #Stories: Split Entry # Res. units: 1 Max. occ. load: NA Fire zone: NA Fire sprinklers: ❑ yes ja no Off-street parking covered: 2 Off-street parking uncoverW: 2 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. r 1 Applicant Signature Date Building Signature Date Phone # 295--6453 State: TIN Zip: 55362 Phone # State: Phone # State: Phone #, State: r Phone ## State: Blg. permit Plan review State surtax Blg. Total Plbg. permit Fixtures State surtax Plbg. Total Mech. permit Fixtures State surtax Mech. Total 97.225 2.00 Sewer access Water access Water meter Meter sales tax Meter Total Sew & water permit Trunk water Trunk san. sewer Stain sewer Lift station Park & Pathway Fire Lock Box Zip: Zip: Zip: Zip: 99.25 TOTAL FEErSq 99.25 Receipt # `� l Date � �4 DATE TIME Scheduled t� - I C2- 0 oO Completed �" 4 �;,�1 PERMIT #: C) -t- -I (0!� 4 ADDRESS: 0_V, fy\ QL cA v e rr O e OWNER: Jenne•- ���rn�� CONTRACTOR: ❑ Footings ❑ Foundation - Forms & Rebar ❑ Foundation - Backfill ❑ Basement Under Floor Slab 0 Plumbing Rough -In COMMENTS: 40 Mechanical Rough -In ❑ Mechanical Final VI Framing - ❑ Plumbing Final If Insulation/Energy Conserv. ❑ Site Drainage ❑ Drywall ❑ Building Final ❑ OTHER: INSPECTION RESULTS: REASONS: INSPECTOR:",w APPROVED — PROCEED ❑ WORK NOT READY ❑ UNABLE -1.0 INSPECT ❑ NO PERMIT ISSUED ❑ CORRECT WORK -- PROCEED ❑ CORRECTIONS INCOMPLETE ❑ CORRECT WORK — CALL FOR ❑ UNABLE TO ACCESS INSPECTION ❑ STOP WORK ORDER— SEE ABOVE ❑ DO NOT OCCUPY Please call (763) 295 - 3060 for next inspection — 24 hours in advance. 4A CITY OF MONTICELLO I' OBSERVATION NOTICE MONTICELLO PERMIT #: -1 C ADDRESS: OWNER: 1 CONTRACTOR: DATE TIME Scheduled Completed ko ❑ Footings ❑ Mechanical Rough -In ❑ Mechanical Final ❑ Foundation - Forms & Rebar ❑ Framing ❑ Plumbing Final ❑ Foundation - Backfill ❑ Insulation/Energy Conserv. ❑ Site Drainage ❑ Basement Under Floor Slab ❑ Drywall ❑ Building Final Plumbing Rough -In �SM ❑ OTHER: COMMENTS: INSPECTION RESULTS: REASONS: INSPECTOR: APPROVED - PROCEED ❑ WORK NOT READY ❑ UNABLE TO INSPECT ❑ NO PERMIT ISSUED ❑ CORRECT WORK- PROCEED ❑ CORRECTIONS INCOMPLETE ❑ CORRECT WORK - CALL FOR INSPECTION ❑ UNABLE TO ACCESS ❑ STOP WORK ORDER - SEE ABOVE ❑ DO NOT OCCUPY Please call (763) 295 - 3060 for next inspection — 24 hours in advance. V CITY OF MONTICELLO I' OBSERVATION NOTICE MONTiCELLI DATE TIME Scheduled Completed 2 - 2J - 0-5- I$,' PERMIT #: _CDI�A -- I( ADDRESS: S1 Licl� 4��, �=S� OWNER: CONTRACTOR: ❑ Footings Mechanical Rough -In ❑ Mechanical Final ❑ Foundation - Forms & Rebar ❑ Framing ❑ Plumbing Final ❑ Foundation - Backfill Insulation/Energy Conserv. ❑ Site Drainage ❑ Basement Under Floor Slab ❑ Drywall ❑ Building Final ❑ Plumbing Rough -In ❑ OTHER: COMMENTS: —� INSPECTION RESULTS: REASONS: INSPECTOR: ❑ APPROVED - PROCEED ❑ WORK NOT READY ❑ UNABLE TO INSPECT ❑ NO PERMIT ISSUED CORRECT WORK- PROCEED ❑ CORRECTIONS INCOMPLETE ❑ CORRECT WORK -CALL FOR INSPECTION ❑ UNABLE TO ACCESS ❑ STOP WORK ORDER — SEE ABOVE ❑ DO NOT OCCUPY Please call (763) 295 - 3060 for next inspection — 24 hours in advance. J AA CITY OF MONTICELLO OBSERVATION NOTICE MONTICELLO DATE TIME Scheduled Completed ,' ,35 PERMIT #: 0 L — 76 ADDRESS: �1 OWNER: CONTRACTOR: ❑ Footings ❑ Mechanical Rough -In ❑ Mechanical Final ❑ Foundation - Forms & Rebar ❑ Framing ❑ Plumbing Final ❑ Foundation - Backfill ❑ Insulation/Energy Conserv. ❑ Site Drainage ❑ Basement Under Floor Slab ❑ Drywall Building Final ❑ Plumbing Rough -In ❑ OTHER: _ C' �i k'N_5"L� COMMENTS: INSPECTION RESULTS: REASONS: INSPECTOR: -,f.&J.,.1 APPROVED - PROCEED ❑ WORK NOT READY ❑ UNABLE TO INSPECT ❑ NO PERMIT ISSUED ❑ CORRECT WORK - PROCEED ❑ CORRECTIONS INCOMPLETE ❑ CORRECT WORK - CALL FOR INSPECTION ❑ UNABLE TO ACCESS ❑ STOP WORK ORDER - SEE ABOVE ❑ DO NOT OCCUPY Please call (763) 295 - 3060 for next inspection — 24 hours in advance. '�\ ca 1� v_Q_S5 SETBACKS SHALL BE VERIFIED 9203 i*qmsjja IL0-0XL I IFICATE OF SURVEY 0 Denotes Wood Stoke Set for For Excavation Only WAGENAAR HOMES, INC. PROPOSED ELEVATIONS/SE Denotes Surface Drainage ( ) Denotes Proposed Elevation APPROVED_ x Denotes Existing Elevation BUILDING ELEVATIONS & SITE GRADES ARE IN GENERAL CONFORMANCE WITH THE GRADING DATE —2Q& Top of Block Elevation PLAN PREPARED BY MIDWEST LAND SURVEYORS 959.2 Garage Floor Elevation & CIVIL ENGINEERS, INC. DATED JULY 31. 1997. 956.4 Lowest Floor Elevation O WILDING SQUARE F001 95&1— Tap of Footing Elevation g001 rWater Service APPRQV��y,D FOR ZONING // 1 Copper [� `f' DATE ., /" , Type of Building: A Wood Frame House ��T ft 1 / E/eCopper.5f L1 / /Yl JJ / o Curb Stop Benchmark: T.N.H. A ,Lot 9, Block 6 _ _p T/c r,. 957.3 Elevation = _ 95� Q5 Srvie26 ti�ei (9575 Zt_ 956.99 Iy>� SaWpVCC,�pr7�]��9 956.4 A � C (Painted)�NPNEN�J ¢ Q\! QS 957.q r E= C80x s J 55.44 �(95 ..9) p1 J Top of Hub \ �a,/0 Future r Elev.=957,05�t o XSy Curb o 61 Scale: 1 " = 40' 956.a I � �0 Denotes iron pipe monument found, I �g o 956.8 \9567) marked "RLS 10947" + �959.7) 55.3 958.4 \(goraga)�gh CAN The orientation of this Bearing System / \ is based upon the recorded plat of n _ _ f / s s as> KLEIN FARMS 4TH ADDITION. Qj �I_ — 48.1t --- x proposed L0 House ot5C95 ,{y, (95B.r� .7 Certified Sunny of ,o 4) I� yr 0 Top of Hub k The Foundation Required Elev.=956.90 A LL I L 0 LOCATION & ELEVATION OF SEWER do WATER SERVICES ARE FROM CITY ENGINEER. ALL BUILDING DIMENSIONS AND FLOOR ELEVATIONS MUST BL -0,N #- ffIWYA —Of'iUN 1jf1K0%V&ED /958.3X19/� ro- (957.0) W / 956.2 5 ' o C) (n / 61 / — rp I hereby certify that I direct supervision and �••-- _ _ of the State of Mime �andLand Survy�& Civil Engineers, Inc. No certification whats 199 Coon Rapids Blvd. insurers, unless this s Coon Rapids, Mn. 55433 Dated this 2nd Ph, 612-786-6909 Fax: 612-786--9208 By Job No. 109-155 Book —Page DCF Acad File 109-155 mes e. Napie ©1998—Midwest Land Surveyors & CIvdI Engineers, Inc. — All Rights Resertied Asbutlt r, Lot 5, Block 5, KLEIN FARMS 4TH ADDITION, Wright County, Minnesota. extended to subsequent s b��yl Oedate� fd(�fjp 1r7�7iD ill i 19`FL' 0AX1PN i''fC'L�.'1 0 me or under my under the laws -tgagees or title the surveyor. _ 19 97 19 _ E KS 0,a : /SG--/oS-oos(DS-�') JUN 1ES7 LS & lWE CERTIFICA Wood Stake Set For Excavation OnlyDenotes for Surface DroinageAGE'N HC�M'1Denotes LDenotes Proposed Elevation Denotes Existing Elevation Top of Block Elevation Gorege Floor E7c,,tivn Lowest floor Elevation - ZLL- TOP of Pooting £levption (� T)P9 of Building: A Wav_ d Frcme Nvuse 0 1 3enchmark: T.N.H. 0 tot 8 block b r ,Elevation =—mxiu Y� � p U. a Scale: 1 " = 401 Denotes iron Pipe monument found, marked -RLS 10947' The arientotion of this Beorinq System is based upon the recorded plat of KLf1N FARMS 47H ADDIT70N, 9�oz%rc,,��ktus 9t-yo1;s TE OF SURVEY LNc. eDR,rat* ��vYy� - V ,,�y a ....�. 8� � I I� A IL CI., ......... I_, ....................... - of AS -BUILT FOR FOUNDATIOt APPROVED i DATE IDWEST tl,7d surveyors & Civir Eng rs, rrtc, 15 ° 9 Coon Raplds Blvd, ti a U. an Rapids, AM 554JJ 612-786-6909 f°n- 612-786-9206 Job No. 10-9=15,5 book -Pogo PCF - Acod File 10_ g-155 Q I998_Mldwes! sand .w 1�+ ChM fngAeers, !n[. — All Rllhty Rnrn,,f i C ,, 1� .0 A y r \ Ua^ GJ' --- 48.1E --- 3 1S5-10S-v©'SCaS Lot 5, Block 5, �. =TV FARMS 4TH ADDITION, 1i'ri9ht County, Minnesota, ce""'Y that this eUrvay plop or report WOO pared b diroct supervi#ian and that I am a duly Register .0 Ldnd Serve Y me ar under my of the Stdte of M1nn41oty. YDr under the laws and No Certification wha"OeW is extended to lu4aequent owners, ma tgagees or tine insur4ra, unless this vvrvey has been redoted for this Purpose by the aurweyor Doted this 2hd doy a oh }g 97 ey eI E. Napler — nesata t id �andaSurvetivn Na. _ 43 ype Asbullt Dated this day of .tune tg 98