2011-00622CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
REPRINTED ON 2/21/2013
ADDRESS 6295 86TH ST NE
PIN 155186001030
LEGAL DESC CARLISLE VILLAGE 3RD ADDN
LOT 003 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE BASEMENT FINISH
VALUATION 16,000.00
NOTE: BASEMENT FINISH: 2 BEDROOMS, LIVWGROOM, BATHROOM
TOTAL FINISHED IS 1,000 SQ FT
PARTIAL FINISH BEFORE PERMIT 2 BEDROOMS & FAMILY ROOM)
APPLICANT
CHAD & TRACY, HINZ
6295 86TH ST
MONTICELLO, MN 55362-
763) 295-5252
OWNER
CHAD & TRACY, HINZ
6295 86TH ST
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 curl; sidewalk,
public utilities and signs will be repaired at my expense
Applicant
Date
Bldg Official Date
2 0 1 1— 0 0 6 2 2*
DATE ISSUED: 12/14/2011
BUILDING PERMIT FEE 281.17
STATE SURCHARGE, BLDG VAL 8.00
TOTAL 289.17
PAID WITH CHECK # 8225
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
l•IONTICELLO
liv,vLLUPMEMI' NERVIC ES PEMI1Tm ti I —COtO Z
BUILDING INSPECTIONS PID
505 WALNUT STREET, SUITE- 1
MONTICELLO, Mt`I 55362
City Hall (76)') 295-271 I Building Inspections (763) 295 33060 Fax (76)) 295-4404
Please Print - INCONIPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: (-Q -
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J ZONED
LEGAL: '
Lot Block Plat Property
Owner Name: Q Address: &
aa5 '6U t
Contractor
Name: State
License #: Address:
Eng./
Architect Name: Address:
Plumber
Name: Address:
Mechanical
Name: Address:
lj
V-) - Phone: 'IUz - 8Q5-5a6 LD61 9City: 'f orYi U 1 v State: !\_ Zip: Phone:
City:
State: Zip: Phone:
City:
State: Zip: Phone:
City:
State: Zip: Phone:
City:
State: Zip: Tvve
of Work Tvr)e of Construction New
Single Family Addition
Duplex Alteration
Multi -Family Repair
Commercial move
Industrial Other
Residential Garage Other
Building
Information Use
of building Q-.Rs1 &i,,,,tols of
stories nth /00 0 Floor
area sq. tI. ;rY. 41 Estimated
value j(.0106 of
constriction. S t n Is
this a "Mister Plan" per MN, Rule 1300.
0160 Sitbp.6? Yes No Description
of work: :\Y cS,SQrfitQMc ,''I FOR ROOF LQ, SIDING PERiMITS, 0-
d81h1 V'/) PLEASE PROVIDE # OF SQUARES a .
8eoam r L;I.i'k. rani., - rOOJ- -- OF SHINGLES &/OR SIDING. T'ar7
a h i j b e-or c Ae i I hereby
apply for a pennit for construction as described and acknowledge that the information I have provided above is complete and accurate. I agree that
the work will be conducted in confonnance with the ordinances or the Cite of Monticello and with the Laws or the State orMinnesota: anti that
I understand that this alaplicntion is not a permit and that the work is not to start without a pennit. I further understand that the work will be
in accordance with the plan that has beer, 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 nt my expense. SEE BACK
FOR PLUlIBING 11 AND
MECHANICAL INTO. Y N q applicant SignattiOApplicationDate l`
APPLICANT: Please s1,owJt-mute-'s utrtr (u•e rtppucum".
Fire Snuvre.vion . (lf applicable) Plumbin,-.- (if applicable) ttlechanical: (if applicable) o.
Pixture Tvr)e o. Fixture T\'pe o. Fixture Tvpe Sprinkler
Heads Water Closet (toilet) Furnace Other/
Spec•ial FS Device Bathtub Gas,lleter Lrn•
ator• (wash basin) Range flood Shorter
Gas Range Kitchen
Sink Water Heater Dishwasher
Air Conditioning Lattnrhy
Tub Mech. Fireplace Fire
Alar„r: (if (ipplicable) Clothes
Washer Buthroonr(s) Exhaust Fan Water
t!e «ter Air E.cchunl- cr C.='
rinrrl Dr •er o.
Fixture "I'cpe Drinkirr Fo rnrain crus Opening n/o FIVIIlr•e Floor
Drain of
Devices Slop Sink Other
Ilvdr nts 7'
07: I L TOT -IL S9
Per Firrnrc) ( S9 Per 1•1ctln•c) I
FOR'CITY USL O III Y,- f free
Ordinance handout Yes IN FEES:
Other Iiall(IOWS Yes ,\o Bldg.
Permit Plall
Review State
Surchar«e Bldcy, "
Total Fixtures
ADDITI0NAL,
INF0R.:\IATIO\: Surchame
Valuation:
7 Plnlg. "
Total C011St1'UClion T%pe: deep.
I?ernlit - Occupancy Group: Division:
Fixturesr
SUrcharue
IlIech.
Total of
Stories: A
of Residential Units: Sewer :
access IN-
iaXiIII[Illl OCCIlI]i111C\': VaLer
Access Fire
Sprinklers: Li Yes LJ \'o Water
lN'leter Off -
Street Parking Covered: Meter
Saps Tax Oft -
Street Parking I)11Covered: , illetel• Total Se,,.- & \
eater Permit s~ x .. • `' Trunk
Water auilclina
Offichll l l Trunk
Sanitary Sewer TIILk
Storm Sewer 1 aPr:
Lift Station
TOTAL FEES:
All Bottom Wsii Plates in Contact
Seal All Panei tjc m Around
Duct, Pipe and Wire Through
with Concrete or Masonry Shall ,All Top and Bottom Plain
Be Decay Resistive
Smoke Detectors: Hard Wire with battery
backup; Locate in each sleeping room,
corridor / sleeping room access, on each
story; in basement, And where "ceiling height
varies 24" +,
T ID
I
t1beliawieal Fee Veetiletlen Regvired:
cI Bath Fan Shall Be Vented and
Insulated to Building Exterior
0 Enclosed1pace S8io etrlPaverwithGYPSUrn
w 914
1:\ SMO CE [EGO)i"''.
iEC)
Nfi Qoor
I&Carbon 1A x%&j tec c4je IBl`
f}wU.w s yayt
vto poop e
7a TO
9MOK CjBTCR REQUIRED
O
l;naow
SgL, yo"N (
e APP OVER PILE COPY
i
3 " • SUBjFCT TO FIELD INSPEC-nON
M
II
7
Date:r(./ 1 - Signed
Egress Wire ftNW. — Wh*w Clear Opening 5.7 Sq. R. Min. 20°
Provide fiq. ft. Clear openings for egress: Wide 24 High, SiH not more than 44' above
window wells. Min. well dimension 8ti'. Finished Floor.
Max. depth 48. Fixed ladder required
for more than 44" well depth.