2008-02914CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
0_ l 1Yn-SUDU t+AX: 1 /DSl ZVn-44U4
ADDRESS 6298 86TH ST NE
PIN 155186001060
LEGAL DESC CARLISLE VILLAGE 3RD ADDN
LOT 006 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE ROOFING & SIDING
VALUATION 10,250.00
APPLICANT
MIDWEST ROOFING, SIDING & WINDOWS
313JEFFERSON HWY
CHAMPLIN, MN 55316-
763) 427-9696
OWNER
LENT,CAROL
6298 86TH STREET NE
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. 1 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
Date
Bldg Official Date
2 0 0 8- 0 2 9 1 4
DATE ISSUED: 09/17/2008
BUILDING PERMIT FEE
STATE SURCHARGE, BLDG VAL
TOTAL
Payment(s)
CHECK 24936
20697
5.12
212.09
212.09
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
PERMIT
BUILDING INSPECTIONS P I D
505 \VALNUT STREET. SUITE I
MONTICELLO. MN 55362
Citric Hall (763) 295-?711 Building Inspections (763) ?95-3060 Fax (7631295-4404
MONTICELLO
BUILDING `PERNITT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 6i .;t 66 f' 5, 1U6_ ZONED
LEGAL: Lot Block Plat
Propern Owner Name: (farojYh Le,.14
Address Cite: State: Zip:
Conti -actor Name:M4we5; 4&al4Ii' 5 5,dt1j +Wz`,,o.is -TAir. Phone: 7 03 V;) T 096
State License : DOlOa j
Address: /3 Cite: Ch4,,, State : Ztp:SS3l6
Eng./Architect Name: Phone:
Address: City: State: Zip:
Plumber Name: Phone:
Address: City: State: Zip:
Mechanical Name: Phone:
Address: City: State: Zip:
Tyne of Work Tyne of Construction Buildin, Information
1 New X Single Family Use of building
Addition Duplex is of stories
Alteration Multi -Family Floor area sq. ft.
Repair Commercial Estimated value
Move Industrial of construction
Other Residential GaraLt! Is this a "Master Plan" per MN Rule
Other 1300.0160 Subp.6.? El Yes No
Descr' tion of work: FOR ROOF & SIDING PERMITS
D re,-eo ?o se Sarave - Sss PLEASE PROVIDE #1 OF
e-S,ap Side oh9., - 5s SQUARES OF SHINGLES &,/OR
v;ct%j
SIDING
i herehv apply for a permit for consmiction as descrihcd and aeknowicclee that the information I have provided ahovc is compietc ane accurate. 1
agree that the work will he conducted in conformance vv Ith the ordinance, of the City of Monticello and rwiti, the Lasts of th Mate or minnesota:
and that l uncierstancl that this application is not a ner l,, and tna_ the toorl: is not to start without a permit. 1 furti er undcrstnnc. tna'. the wo1: t.ill
c in accordance with the plan that has hcen approved ht. the Bui1Jln,= Official. I agree that any danrlafe caused to nubiic nroncrt% inciudinL but
no" limited to cur'r. "id' -wall'. nuhhc utilities and sigat expense. 6?
Gjl Applicant Si,
Jnaturc SEE BACK
FOR PLUMBING j AND
MECHANICAL INFO. Application Date