2021-00099CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX (763) 295-4404
ADDRESS 4147 87TH ST NE
PIN 155252001070
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 007 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE WATER SOFTENER
NOTE: WATER SOFTENER & REVERSE OSMOSIS
NUMBER OF PLUMBING FIXTURES
APPLICANT
FINKEN
3423 COUNTY ROAD 74
ST CLOUD, MN 56301-
320) 258-2005
Minnesota State License #: 005619PM
OWNER
KRIEGSIES, ADAM
4147 87TH STREET NE
MONTICELLO, MN 55362-
AGREEMENT AND SWORN STATEMENT
0)
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
Date
Bldg Official Date
Jlll
2021-00099*
DATE ISSUED: 02/22/2021
Permit #: 2021-00099
PLUMBING BASE FEE, RESI 50.00
PLUMBING FIXTURES 18.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 69.00
Payment(s)
CHECK 44268 69.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Mo4i
Permtt My.
nt'4 v
do pateBUILDINGSAFETY
RESIDENTIAL BUILDING PERMIT
ADDITION f ALTERATION / REMODEL
SITE ADDRESS
HIH"1 1" ('t ME
LEGAL DESCRIPTION
LOT BLOCK PI.D. NUMBER
PLAT
f F S 1 q , q 5$ id ofl-7
OWNER (Name) (Address) (Tel. No.)
Fnken cer^ "-L' s .310 co 94 7W L cloks'4 3z o 755 CONTRACTOR (
Name) (Address) (Tel, No.) CON1
t &6111 LICENSE NUMBER (IFAPPLICABLE) 1 PLUMBING BEING
COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR _
C IF APPLICABLE,
SPECIFY CONTRACTOR F,nk ovi C Orn parnrfs Lic # t)S-7 T88 PM CHECK ALL
THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER LAUNDRY TUB
SOFTENER P eevt S P OTHER TOTAL # OF
FIXTURES Z, REMINDER: IF
YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERPORMING THE WORK, PERMIT MIST BE PURLED BYA MASTER
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: 4v g alt;n SoF tv ,.— Gn c( t`C+J f S 6 5VAOSils . ESTIMATED VALUE
OF CONSTRUCTION Approved by Building Official: 4 3 (
Pp F ..--- Date Approved: Applicant Signatur %
r t i7 "L/f/G'l Date 211151 %_<rD 4 505 Walnut
treet, Suite #1 MonticeIlo, MN 55362 Phone: 763295 3060 Fax: 763-295-4404 &-29 I