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2023-00410CITY OF MONTICELLO 505 WALNUT STREET MONTICELLO, MN 55362- 763) 295-3060 FAX: (763) 295-4404 ADDRESS 4331 86TH ST NE PIN 155264001010 LEGAL DESC EDMONSON RIDGE LOT 001 BLOCK 001 PERMIT TYPE BUILDING PROPERTY TYPE SINGLE FAMILY -DETACHED CONSTRUCTION TYPE BASEMENT FINISH VALUATION 12,000.00 NOTE: ADDITION OF WORK OUT. 2 WALLS AND BEDROOM. BATHROOM UNFINISHED APPLICANT STUART, KENNETH R, KELLI 4331 CHELSEA RD W. MONTICELLO, MN 55362- 763) 272-1324 OWNER STUART, KENNETH & KELLI 4331 CHELSEA RD W. MONTICELLO, MN 55362- AGREEMENT AND SWORN STATEMENT 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 W/4 4 _A " Date S12'/As Bldg Official Date 2 0 2 3— 0 0 4 1 0 DATE ISSUED: 05/31/2023 Permit #: 2023-00410 BUILDING PERMIT FEE 221.81 PLAN REVIEW 144.18 STATE SURCHARGE, BLDG VAL 6.00 TOTAL 371.99 Payment(s) CHECK 10794 371.99 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF Monticello BUILDING SAFETY Permit No. d— 00 it o Date J - Z 5 — Z02-3 RESIDENTIAL BUILDING PERMIT ADDITION / ALTERATION / REMODEL SITE ADDRESS 1331 '8(®1) 5t. A:e I`I cr t•zl( _ N1N 5 o:l LEGAL DESCRIPTION LOT 0BLOCK I PLAT he. nnV-+h . IhetlIy 5+wr 433I 8(v4, 5t. N,f OWNER' S NAME (Address) PI. D. NUMBER /55 2 67169 0 / © I Q Mont- ca_Ilo, Mt553(oA y&3,27;a-13R11 Tel. No.) CONTRACTOR (Address) ( Contact) Tel. No.) CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) (Email) PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR IF APPLICABLE, SPECIFY CONTRACTOR Lic # CHECK ALL THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER LAUNDRY TUB SOFTENER OTHER TOTAL # OF FIXTURES REMINDER: IF YOU DO NOT O iI N THIS PROPER T3' OR .4RE ,N'OT PERFORMING THE WORK, PERMIT MUST BE PULLED BY.4 . VL4STER PLUMBER.) MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE): / HOMEOWNER CONTRACTOR IF APPLICABLE, SPECIFY CONTRACTOR CHECK ALL THAT APPLY: FURNACE A/C FIREPLACE BATHFAN TOTAL # OF FIXTURES Bond # DESCRIPTION OF WORK: AcAc(. 1:a,, * (SeJroori. Adderj bAcK woAL 1a FAl-&-e of lgNv kcY. ui T00rw. ac d.G gt®w st:cv\ wall 2n+Q r.na {J.afai.c r:av t:. I oiit Yar ha . Y1 fv ('.i1wr ESTIMATED VALUE OF CONSTRUCTION Approved by Building O Icial: AlGt % ` Total Due oo C Date Approved: 0 3 J a3 $ APPLICANT SIGNATURE Date 505 Walnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax63-295-4404 W-- 04C CITY OF PHONE:763-295-2711 Fax:763-295-4404MMf 6eRol 505 Walnut Street I Suite 1 I Monticello, MN 55362 BUILDING PERMIT APPLICANT: PROPERTY OWNER I understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for specific exemption from the licensing requirements. By signing this document, I attest to the fact that I am building or improving the house myself. I hereby claim to be exempt from the state licensing requirements because I am not building or improving property for the purpose of speculation or resale and that the house which I am applying for this permit located at: 94444 st l is the first residential structure that I have built or improved in the last 24 months. I also acknowledge that because I do not have a state contractor's license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. In the even that I do construct or improve another residential structure in the next 24 months, I will not do so until I obtain the required state license understanding that failure to do so is a misdemeanor under state law. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and / or roofing activity is a misdemeanor under Minn Stat. 326.92, subd. 1. 1 also acknowledge that all licensed contractor's pay Into the Contractor's Recovery Fund, which can pay homeowners up to $50,000 in the event that their licensed contractor fails to complete work or preforms defective work, but that I forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I also acknowledge that as the contractor on this project, I am solely and personally responsible for and violations of the State Building Code and / or City Code in connection with the work performed on this property, and that I can be prosecuted criminally for any code violations that are not corrected as ordered by the City. Signature of Property Owner Date To determine whether a particular contractor is required to be licensed, please call the Department of Labor and Industry @ 651-284-5012 www.ci.monticello.mn.us Service Request for JP Brooks Builders If your service request is mechanical. Dlumbina. or electrical in nature please contact the appropriate vendor below. They will service their items directly. Please follow up with JP Brooks once you have contacted and scheduled the service with the vendor Plumbina: Abel Plumbina — Neil Abel abelolumbinamn(o)hotmail.com 952-292-3948 _ Heatina: Recher HVAC Wes Recher wesrecher anvahoo.com 612-802-6525 Electrical: AMP Electric — John Pomerleau amr)electricmnna amall.com 763-464-6416 First Choice Plumbina - Randv firstchoiceolbana vahoo.com 763-614-0114 s Bob Kilian Electrical Company - Steve bkilianelectricPhotmail.com 763.497.2976 J If your service request is regarding appliances, please contact Frigidaire at 1-800-374-4432 or Whirlpool 866)698-2538 (Please have your model and serial # ready when calling). Warner's Stellian r www.warnersstellian.com/builder-reauest-form email: builderservice@warnersstellian.com Courtney Brown 651-726-1643 or Sarah Fuller 612.540-5450 If you have any other service needs, please utilize the email below. We will be in contact within 2 business days to assess and issue the appropriate work orders to the vendors responsible. PLEASE submit pictures whenever possible and include your address. warrantv@iobrooks.com EMERGENCY SERVICES S€RVPRO of Wright County 763-295-1161 www.servr)rowdahtcountv.com Irriaation Mike 612-269-1636 Wright Rain Irrigation Gutters Matt Judnick218-391-3388 High Point Gutters a6— P-- oa awe yQ yoDIL•- _ r , o ` oou"F vo OSF anI I I I i I I r-•. - I I r______ I Y s rR I I I I I I I I 1 I I I I I I I I I I I 1 I I 1 I I I I I lypR'ffi( I I I g44iikkNN,,,Iya I I r'1• I I tl IwVi RATm I SO?Y faWILA I' j I I 4 I I B IN- r. 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