2008-01087CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
MIUVIVI%M1111M Wk":RU11MVIV'lm I III! I
ADDRESS 6317 86TH ST NE
PIN 155186001010
LEGAL DESC CARLISLE VILLAGE 3RD ADDN
LOT 001 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE ROOFING & SIDING
VALUATION S 13,631.00
NOTE: FINAL INSPECTION TO BE CALLED IN A MAXIMUM OF 48 HOURS AFTER COMPLETION
APPLICANT
GIDDINGS EXTERIORS
18001 UTE STREET
RAMSEY, MN 55303-
612)282-7379
1:1111 131.7
VANDERLINDEN,JAMES
6317 86TH ST NE
MONTICELLO, MN 55362-
AGREEMENT AND SWORN STATEMENT
1 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
Date
Bldg Official Date
2 0 0 8- 0 1 0 8 7
DATE ISSUED: 07/10/2008
BUILDING PERMIT FEE
STATE SURCHARGE, BLDG VAL
TOTAL
Payment(s)
CHECK 9212
251.49
6.82
258.31
258.31
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MONTICELLO
DEVELOPMENT SERVICES
BUILDING INSPECTIONS
505 WALNUT STREET.. SUITE I
MONTICELLO. %IN' 55362
PERMIT tt
P I D ——
City Hall (763) 295-271 1 Building Inspections (763) 29-5-3060 Fax (7631295-4404
BUILDING-PURMTT 1PPIJICATION'
Please Print- INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: l,^ 5 C -
1 7- ZONED
LEGAL: Lot Block Plat
Property Owner Name: M S r f/-'' 'n Phone:
Address: 7, 7 y -> 7 City: / .Q Statet l Zip:
Contractor Name: ` i nl iC T :'Cr2S 1 L Phone: Z_ Z92- 7_3 7
State License:
Address: jkQD)Tf_ 5'i— City: gftjtiX5d Y State: M."v Zip- L'
Eng./Architect Name: Phone:
address: City: _ State: Zip:
Plumber Name: Phone:
Address: Cite: _ _ State: Zip:
Mechanical Name: Phone:
Address: Citv: _ State: Zip:
Type of Work Tyne of Construction Building, Information
New Sinude Family Use of building
Addition Duplex of stories
Alteration Multi -Family Floor area sq. ft.
Repair Commercial Estimated value_—
Move Industrial of construction S
El Other El Residential Garage Is this a "Master Plan' per iti1, Rule
Other 1300.0160 Subp.6.° 1 es No
Dcscriptio o-f work: "
F i-y S1 FOR ROOF & SIDING PERMITS
L ,, R LC; i L C( (:5 PLEASE PROVIDE #, OFIt
t i,——ff7 tq5 , y L- SQUARES OF SHINGLES &/OR
SIDING
1 hCreb•. appl.\ for a permi, for construction as descnned and acKnorvled<<c that th nrorma ion I hiNc nrf;\-idcd above is coniptete and accurate !
al ,ree that the \%ork will be conducted in ith the ordinances of the Cite of %lonticcllo and tctth the Layv_of the State of vhrinesota_
any that I understand that this application i not a p: rrrit and that the \kork i not to start vwhout a permit I further under;tanu that the wort: X%ill
n: in accordance vwith the plan that has been apprmCd by the Building C)tfcial I agree that an,, damage caused to puhiic propert, inclutiir_, but
not iunited to :curb. public Mliities and signs will be repaired at m\ expense.
7 -
Applicant Signat _e
SEE BACK FOR PLUMBING
AND MECH.-ALNICAL INFO.
Application Date