2024-00491CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4392 86TH ST NE
PIN 155264002060
LEGAL DESC EDMONSON RIDGE
LOT 006 BLOCK 002
PERMIT TYPE MECHANICAL & PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE PLUMBING FIXTURES
2 0 2 4— 0 0 4 9 1
DATE ISSUED: 06/14/2024
Permit #: 2024-00491
NOTE: INSTALLING GARAGE HEATER AND WASHTUB.
NUMBER OF MECHANICAL FIXTURES 1.00 NUMBER OF PLUMBING FIXTURES
APPLICANT
SOLUTIONS PLMG & MECH
8381 145TH ST NE
CLEARWATER, MN 55320-
320) 267-8591
OWNER
LSW INVESTMENTS LLC
4065 CHELSEA RD W
MONTICELLO, MN 55362-
MECHANICAL BASE FEE, RESI
MECHANICAL FIXTURES
PLUMBING BASE FEE, RESI
PLUMBING FIXTURES
TOTAL
Payment(s)
CREDIT CARD 7235
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 repaired at my expense.
Applicant I
Date
Bldg Official Date
1.00
50.00
9.00
50.00
9.00
118.00
118.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Monticello
BUILDING SAFETY
DqI
JuN , . zoza
Permit No. J-0cL Lf - 6U L1q 1 Date_ —
A/-, RESIDIRNITAL
R1171 .11 T! IT ADDITION /
ALTERATION / REMODEL SITE
ADDRESSZ
7 LEGAL
DESCRIPTION LOT
BLOCK PI.D. NUMBER j PLAT
I
y Qwi(LJ OWNER'
S NAME (Address) (Email Address) (Tel. No.) CONTRACTOR (
Address) (Contact) (Tel. No.) P
C -7 °I s Al &,,,tt 3zD - 267-s l CONTRACTOR'
S LICENSE NUMBER (IF APPLICABLE) (Applicant Email) PLUMBING
BEING COMPLETED BY (PLEASE CHECK ONE): 11
HOMEOWNER Z CONTRACTOR IF
APPLICABLE, SPECIFY CONTRACTOR Lic # CHECK
ALL THAT APPLY: El TOILET 0 SINK 0 BAR SINK BATHTUB/SHOWER 0
LAUNDRY TUB SOFTENER OTHER
TOTAL #
OF FIXTURES REMINDER:
IF YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED B
Y A MASTER PLUMBER) MECHANICAL
BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER
CONTRACTOR IF
APPLICABLE, SPECIFY CONTRACTOR
CHECK
ALL THAT APPLY: FURNACE [:]A/C 0 FIREPLACE [:1 BATH G <L
Cu'?
V TOTAL #
OF FIXTURES BOND# DESCRIPTION
OF WORK: ESTIMATED
VALUE OF CONSTRUCTION Total Due Approved
by Building Official: Date
Approved: — 07- $ A
APPLICANT
SIGNATURE ! L v Date
Y
505
Walnut St, Suite #1 M6nticello, MN 55362 763-295-3060 Email: buildingdepartment@ci.monticello.mn.us