2025-00692CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4151 87TH ST NE
PIN 155252001060
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 006 BLOCK 001
PERMIT TYPE PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE LAWN SPRINKLER
NOTE: NOT TO BE LOCATED IN PUBLIC RIGHT OF WAY
BACK FLOW PREVENTOR AND RAIN SENSOR ARE REQUIRED
TO BE CONNECTED BY A LICENSED PLUMBER
NUMBER OF PLUMBING FIXTURES 1.00
APPLICANT
HELLMAN OUTDOORS
PO BOX 794
MONTICELLO, MN 55362-
763) 350-3087
OWNER
ZAWATZKE, MICHAEL & BRENDA
4151 87TH 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. 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 si ns will be repaired at my expense.
Applicant ,
Date
Bldg Official Date
Z 0 Z S— 0 0 6 9 Z*
DATE ISSUED: 05/29/2025
Permit #: 2025-00692
PLUMBING BASE FEE, RESI 50.00
PLUMBING FIXTURES 9.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 60.00
Payment(s)
CREDIT CARD 0489 60.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF Permit No
Monticeflo
BUILDING SAFETY Date
RESIDENTIAL BUILDING PERMIT
ADDITION / ALTERATION / REMODEL
SITE ADDRESS
LEGAL DESCRIPTION
ivy
LOT BLOCK PI.D. NUMBER
PLAT
OWNER'S NAME (Address)
Ale 6 L) jrk)l- tOcl- &*-7,9 q
CONTRACTOR (Address) (Contact)
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) (Email)
PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER CONTRACTOR
Tel. No.)
3 sQ 3c)
Tel. No.)
d--
IF APPLICABLE, SPECIFY CONTRACTOR Lic #
CHECK ALL THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER
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 FIREPLACE BATHFAN
TOTAL # OF FIXTURES Bond #
DESCRIPTION OF ///
WORK: SO..11 &/ ..
ESTIMATED VALUE OF CONSTRUCTION
Approved by Building Official:
Date Approved:
APPLICANT SIGNATURE
I
Total Due
505 Walnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060
Date
Fax: 763-295-4404